MEDICRUISER ONSITE CARE (NPI# 1710245402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710245402 |
| Entity Type | Organization |
| Organization Name | MEDICRUISER ONSITE CARE |
| Practice Address |
225 10th Ave Salt Lake City UT 84103-2529 |
| Practice Telephone | 8014845504 |
| Practice Fax Number | 8014845538 |
| Mailing Telephone | 8014845504 |
| Mailing Fax Number | 8014845538 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2013-02-28 |
| Authorized Official Name | PAUL GAHLINGER (BILLING MANAGER) |
| Authorized Official Telephone | 8014845504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
97-339160-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
225 10TH AVE |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447226717 | John R Dietlein | Family Medicine | 6886 Hollow Mill Dr, Salt Lake City, UT 84121-3322 | 2006-02-27 |
| 1396999868 | Cynthia Jean Lawlor | Family Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2008-11-11 |
| 1326148073 | Physician Home Care of Utah,l.c. | Family Medicine | 6886 Hollow Mill Dr, Salt Lake City, UT 84121-3322 | 2006-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1154755882 | Senior Mobile Docs | Family Medicine | 9980 S 300 W, Suite 245, Sandy, UT 84070-3627 | 2013-08-29 |
| 1083998603 | Ogden Internal Medicine and Urology | Family Medicine | 2950 N Church Street, Layton, UT 84040 | 2011-09-30 |
| 1508145111 | Ihc Health Services Inc | Family Medicine | 9720 S 1300 E, Ste E240, Sandy, UT 84094-3795 | 2011-08-12 |
| 1235426925 | Steven E Warren Md PC LLC | Family Medicine | 4790 Hidden Lake Dr, Bountiful, UT 84010-6083 | 2011-07-01 |
| 1760650527 | Columbia Ogden Regional | Family Medicine | 5405 S 500 E, Suite 110, Ogden, UT 84405-6957 | 2008-02-14 |
| 1689746786 | Nancy Jo Zega | Family Medicine | 425 E 5350 S, 255, Ogden, UT 84405-6946 | 2006-11-14 |
| 1932285418 | Charles Steven Fehlauer | Family Medicine | 2773 Etienne Way, Sandy, UT 84093-1116 | 2006-10-27 |
| 1114947223 | Carl Edward Wyne | Family Medicine | 5770 Fashion Blvd, Murray, UT 84107-6548 | 2006-07-20 |
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.