NOTUS IMAGING AND RESEARCH LABORATORIES (NPI# 1750704532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750704532 |
| Entity Type | Organization |
| Organization Name | NOTUS IMAGING AND RESEARCH LABORATORIES |
| Practice Address |
280 River Park Dr Suite 100 Provo UT 84604-5764 |
| Mailing Address |
560 W 800 N Orem UT 84057-3746 |
| Practice Telephone | 8012256246 |
| Mailing Telephone | 8012256246 |
| Mailing Fax Number | 8012251525 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | JAMES BURGON (MANAGER) |
| Authorized Official Telephone | 8017016507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
280 RIVER PARK DR SUITE 100 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-5764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451609 | Bret D Hilton | Physician Assistant | 280 River Park Dr, Suite 120, Provo, UT 84604-5764 | 2005-07-19 |
| 1164887097 | Kristine Emanuelson | Dietary Manager | 280 River Park Dr, Suite 240, Provo, UT 84604-5764 | 2015-12-18 |
| 1083007652 | Si Procedure Center | Clinic/Center | 280 River Park Dr, Suite 200, Provo, UT 84604-5764 | 2015-03-06 |
| 1508292780 | Christian Degrey | Nurse Practitioner | 280 River Park Dr, 200, Provo, UT 84604-5764 | 2013-09-19 |
| 1437383379 | Wesley D Wylie Md LLC | Clinic/Center | 280 River Park Dr, Provo, UT 84604-5764 | 2009-05-06 |
| 1720265432 | J.m. Clayton, Inc. | Plastic Surgery | 280 River Park Dr, Suite 240, Provo, UT 84604-5764 | 2008-01-24 |
| 1174705198 | Thomas D Myers Md PC | Ophthalmology | 280 River Park Dr, Suite 220, Provo, UT 84604-5764 | 2007-11-30 |
| 1366623191 | Catherine R Black | Nurse Practitioner | 280 River Park Dr, Suite 200, Provo, UT 84604-5764 | 2007-11-20 |
| 1588872691 | J Riley Stringham | Pain Medicine | 280 River Park Dr, #200, Provo, UT 84604-5764 | 2007-05-21 |
| 1023049418 | Daniel Rey Faber | Anesthesiology | 280 River Park Dr, #200, Provo, UT 84604-5764 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1457688590 | James Edwin Rasband | Radiology | 3757 Pebble Ln, Provo, UT 84604-5267 | 2009-11-11 |
| 1003291568 | Ihc Health Services Inc | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2015-07-27 |
| 1750624979 | Conrad Curtis Gibby | Radiology | 3152 N University Ave, Provo, UT 84604-4745 | 2013-04-06 |
| 1982846119 | Benjamin Clark Jacobs | Radiology | 1055 N 500 W, Ste 112, Provo, UT 84604-3305 | 2009-04-02 |
| 1922248202 | Richard Taylor Jackson II | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2009-02-26 |
| 1033371760 | Daniel Lyman Corey | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2008-06-25 |
| 1316106131 | Fred Jeston Dawson | Radiology | 1055 N 500 W, Suite 112, Provo, UT 84604-3305 | 2008-06-06 |
| 1316113228 | Kimball Lael Christianson | Radiology | 1055 N 500 W, Suite 112, Bldg. C, Provo, UT 84604 | 2008-05-01 |
| 1629266317 | Thomas Briggs Sanders | Radiology | 1034 N 500 W, Provo, UT 84604-3380 | 2007-10-09 |
| Find all providers in PROVO | ||||
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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.