EAST LAYTON INTERNAL MEDICINE LLC (NPI# 1770527871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770527871 |
| Entity Type | Organization |
| Organization Name | EAST LAYTON INTERNAL MEDICINE LLC |
| Other Organization Name | EAST LAYTON MEDICAL CLINIC |
| Practice Address |
1240 East Highway 193 Suite G-1 Layton UT 84040 |
| Practice Telephone | 8014758600 |
| Practice Fax Number | 8017711330 |
| Mailing Telephone | 8014758600 |
| Mailing Fax Number | 8017711330 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DAVID J. KANE (VP) |
| Authorized Official Telephone | 8015685999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| East Layton Medical CLinic | Doing Business As Name - Organization |
| Street Address |
1240 EAST HIGHWAY 193 SUITE G-1 |
| City | LAYTON |
| State | UT |
| Zip Code | 84040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410947 | Creek Dental Group Meadowbrook LLC | Dentist | 1148 E Ut-193, Layton, UT 84040 | 2020-09-08 |
| 1902417629 | Christopher Luis Perez | Behavior Technician | 2940 Church Street, Suite 303, Layton, Davis, UT 84040 | 2020-08-14 |
| 1851939011 | Shaunell Young | Counselor | 2264 N 2650 E, 2264 N 2650 E, Layton, UT 84040 | 2019-12-18 |
| 1568929875 | Cassie Marie Decker | Behavior Technician | 2935 N 935 E, Layton, UT 84040 | 2019-02-22 |
| 1174035257 | Emily Reed | Behavior Technician | 935 E 2985 N, Layton, UT 84040 | 2017-10-30 |
| 1679008122 | Christopher Valdez | Behavior Technician | 935 East 2985 North, Layton, UT 84040 | 2017-04-21 |
| 1194175463 | Halie Checketts | Behavior Technician | 935 E 2985 S, Layton, UT 84040 | 2016-06-17 |
| 1609231125 | Katherine Pike Macias | Speech-Language Pathologist | 201 W Latyon Parkway, Layton, UT 84040 | 2015-12-28 |
| 1891164752 | Katherine Dean Turek | Social Worker | 476 West Heritage Park Blvd, Suite 220, Layton, UT 84040 | 2015-09-22 |
| 1790152189 | Alma Discuillo | Behavior Technician | 2490 N Church St, Layton, UT 84040 | 2015-09-01 |
| Find all providers in zip 84040 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698077 | Gayle Marie Mortensen | Internal Medicine | 1619 Hillsboro Dr, Layton, UT 84040-8250 | 2020-10-27 |
| 1881635845 | Amandeep Singh Chadha | Internal Medicine | 2132 N 1700 W, Ste 110, Layton, UT 84041-7057 | 2006-06-09 |
| 1750816161 | Gregory Phillip Gardner | Internal Medicine | 1492 W Antelope Dr Ste 203, Layton, UT 84041-1141 | 2017-04-23 |
| 1497209050 | Brock Aldrich | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2016-08-11 |
| 1811258601 | Terrence Wayne Andrews | Internal Medicine | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2012-06-07 |
| 1780987719 | Lisa Anne Harward | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2010-12-14 |
| 1922230770 | Dominika Gabriela Janowski | Internal Medicine | 1492 W Antelope Dr, 203, Layton, UT 84041-1139 | 2009-08-12 |
| 1508027541 | Gaurav Dagar | Internal Medicine | 2132 N Robins Dr Ste 307, Layton, UT 84041-7077 | 2008-06-23 |
| 1679782031 | Catherine Michelle Coles | Internal Medicine | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1139 | 2007-05-22 |
| 1558574087 | Gregory Thomas Austad | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2007-05-08 |
| Find all providers in LAYTON | ||||
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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.