DR. DREW HOWARD VAN BOERUM (NPI# 1710925631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710925631 |
| Entity Type | Individual |
| Full Name | DR. DREW HOWARD VAN BOERUM |
| Credential | MD |
| Practice Address |
5848 S 300 E Murray UT 84107-6121 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013144900 |
| Practice Fax Number | 8013144919 |
| Mailing Telephone | 8013144900 |
| Mailing Fax Number | 8013144919 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 3641301205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854057005 | 05 |
| Street Address |
5848 S 300 E |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526794 | Fikre H Wondafrash | Specialist/Technologist | 5848 S 300 E, Murray, UT 84107-6121 | 2006-04-10 |
| 1104212620 | Michael Steven Everett | Specialist/Technologist | 5848 S 300 E, Murray, UT 84107-6157 | 2015-04-10 |
| 1013323377 | Christopher Seul | Specialist/Technologist | 5848 S 300 E, Murray, UT 84107-6121 | 2014-07-08 |
| 1336450691 | Tiffany Quinn Rees | Physician Assistant | 5848 S 300 E, Murray, UT 84107-6157 | 2010-07-01 |
| 1225213069 | Lloyd William Shell | Physical Therapist | 5848 S 300 E, Murray, UT 84107-6121 | 2007-12-28 |
| 1326222175 | Milada Tichy | Nurse Practitioner | 5848 S 300 E, Murray, UT 84107-6157 | 2007-12-28 |
| 1063601730 | Joel L Nuttall | Physical Therapist | 5848 S 300 E, Murray, UT 84107-6121 | 2007-10-18 |
| 1295866051 | Ihc Health Services Inc | Orthopaedic Surgery | 5848 S 300 E, #120, Murray, UT 84107-6121 | 2007-03-07 |
| 1356384283 | Michael Carl Holmstrom | Orthopaedic Surgery | 5848 S 300 E, Murray, UT 84107-6121 | 2006-06-14 |
| 1780627273 | James M Morgan | Orthopaedic Surgery | 5848 S 300 E, Murray, UT 84107-6121 | 2006-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033757166 | Mountain West Spine and Orthopedics, LLC | Orthopaedic Surgery | 279 E 5900 S Ste 100, Murray, UT 84107-5422 | 2019-12-19 |
| 1962663872 | Hilary L. Hunt | Orthopaedic Surgery | 1102 Chestnut St, Murray, KY 42071-1961 | 2008-06-23 |
| 1407050339 | John A Yezerski, Md | Orthopaedic Surgery | 300 S 8th St Ste 178w, Murray, KY 42071-2444 | 2007-06-13 |
| 1205056215 | Derek Lee Morgan | Orthopaedic Surgery | 300 S 8th St Ste 284w, Murray, KY 42071-2452 | 2007-05-01 |
| 1891819843 | Warren Lewis Butterfield | Orthopaedic Surgery | 5169 South Cottonwood Street, Suite 430, Murray, UT 84157 | 2007-03-16 |
| 1508937046 | Ascension Orthopaedics, Pllc | Orthopaedic Surgery | 300 S 8th St Ste 378w, Murray, KY 42071-2408 | 2006-11-13 |
| 1033148986 | Orthopedic Specialty Clinic Lc | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2006-07-02 |
| 1992786115 | Brandon J Ferney | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2005-11-07 |
| 1346589819 | John G. Skedros, M.d. PC | Orthopaedic Surgery | 5323 S Woodrow St Ste 200, Murray, UT 84107-5844 | 2013-02-04 |
| 1881943140 | Richard E Blalock II | Orthopaedic Surgery | 300 S 8th St, Suite 284w, Murray, KY 42071-2400 | 2012-09-02 |
| Find all providers in MURRAY | ||||
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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.