DR. MELODY SCHEEFER VAN BOERUM (NPI# 1720320179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720320179 |
| Entity Type | Individual |
| Full Name | DR. MELODY SCHEEFER VAN BOERUM |
| Other Name | MELODY SCHEEFER |
| Credential | MD |
| Practice Address |
5445 S Highland Dr Salt Lake City UT 84117-7629 |
| Practice Telephone | 8012749500 |
| Mailing Telephone | 8012749500 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2020-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 9149575-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
9149575-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5445 S HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-7629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
| 1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
| 1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
| 1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
| 1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
| 1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
| 1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
| 1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
| 1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
| 1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
| Find all providers in zip 84117 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508156928 | Richard Tyrell | Plastic Surgery | 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0002 | 2011-04-19 |
| 1851617815 | Dana Nicole Johns | Plastic Surgery | University of Utah Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-04-15 |
| 1346426137 | David S Thomas Md PC | Plastic Surgery | 370 Ninth Ave Ste 200, Salt Lake City, UT 84103-3185 | 2008-01-11 |
| 1891840914 | Bradd K Christensen | Plastic Surgery | 1377 E 3900 S Ste 104, Salt Lake City, UT 84124-1492 | 2007-01-25 |
| 1275695546 | Alvin Kwok | Plastic Surgery | 30 N 1900 E # 3b400, Salt Lake City, UT 84132 | 2006-12-14 |
| 1992874358 | David S Motoki | Plastic Surgery | 3980 S 700 E, Suite 23, Salt Lake City, UT 84107-2188 | 2006-11-07 |
| 1821060948 | Louis Morales Jr. | Plastic Surgery | 5089 S 900 E, Suite 100, Salt Lake City, UT 84117-5735 | 2006-02-02 |
| 1255339255 | June S Chen Md PC | Plastic Surgery | 7240 Highland Drive, Suite 175, Salt Lake City, UT 84121-5532 | 2005-07-13 |
| 1942207048 | June S. Chen | Plastic Surgery | 7240 Highland Dr, Suite 175, Salt Lake City, UT 84121-5532 | 2005-07-05 |
| 1558822775 | Evelyn R. Reed | Plastic Surgery | 30 N 1900 E # 3b400, Salt Lake City, UT 84132-0002 | 2019-03-29 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
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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.