JEFFREY LEONARD HALLECK (NPI# 1760825822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760825822 |
| Entity Type | Individual |
| Full Name | JEFFREY LEONARD HALLECK |
| Credential | M.D. |
| Practice Address |
5121 S Cottonwood St Salt Lake City UT 84107-5701 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015074384 |
| Mailing Telephone | 8015074384 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2017-05-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 9149500-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 9149500-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
| Street Address |
5121 S COTTONWOOD ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811544604 | Angela Hall Birkeland | Nurse Practitioner | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2019-08-26 |
| 1720545585 | Alessa Wade | Dietitian, Registered | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2019-02-27 |
| 1003366766 | Anastasiya Mankouski | Pediatrics | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-10-06 |
| 1437503091 | Matthew Neil Lamont | Hospitalist | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-04-20 |
| 1588048979 | Utah Emergency Physicians | Emergency Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2015-07-15 |
| 1740608686 | Stephanie Aileen Chan | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2014-03-28 |
| 1225471816 | Jason Edward Allen | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2013-04-12 |
| 1356609317 | Lana Joelle Mcgill | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2012-04-27 |
| 1013293620 | Jared David Miller | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2011-10-26 |
| 1710272026 | Cheryl L Pierce | Registered Nurse | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2011-06-15 |
| Find all providers in the same location | ||||
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680119 | John Hamburg Murray | Hospitalist | 30 N 1900 S, Room 1c412, Salt Lake City, UT 84132-0001 | 2014-04-22 |
| 1164554069 | Ihc Health Services Inc | Hospitalist | 8 Th Avenue & C St, Salt Lake City, UT 84143-0002 | 2007-03-09 |
| 1205838844 | Vijaykumar Lingegowda | Hospitalist | 1200 East 3900 S, Suite 4b, Salt Lake City, UT 84124 | 2005-08-12 |
| 1598389595 | Ihc Health Services Inc | Hospitalist | 5373 S Green St, Salt Lake City, UT 84123-4680 | 2020-06-04 |
| 1609334911 | Santibanez Aguirre Slc PC | Hospitalist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-03-05 |
| 1437503091 | Matthew Neil Lamont | Hospitalist | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-04-20 |
| 1447664859 | Michael Lindberg Lane | Hospitalist | 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 | 2014-06-13 |
| 1619395423 | Steven John Rockwell Miller | Hospitalist | 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2014-03-31 |
| 1962841494 | Antony Cox | Hospitalist | University Hospital, 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2013-06-18 |
| 1487944096 | Jared Alan Johnstun | Hospitalist | University Hospital, 50 Medical Drive, Salt Lake City, UT 84132-0001 | 2011-04-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.