DR. KEITH DUFFY (NPI# 1770779050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770779050 |
| Entity Type | Individual |
| Full Name | DR. KEITH DUFFY |
| Credential | M.D. |
| Practice Address |
University of Utah Dept Of 50 N Medical Dr Salt Lake City UT 84112-1102 |
| Mailing Address |
Po Box 3208 Salt Lake City UT 84110-3208 |
| Practice Telephone | 8015876340 |
| Practice Fax Number | 8015876346 |
| Mailing Telephone | 8015876340 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 6099540-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
60995401205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
60995401205 | UT | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
60995401205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
UNIVERSITY OF UTAH DEPT OF 50 N MEDICAL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680184 | West Valley Dermatology | Dermatology | 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076 | 2014-04-22 |
| 1558782276 | Margaret Maria Cocks | Dermatology | 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132-0002 | 2013-12-23 |
| 1588007520 | Blake Patrick Sampson | Dermatology | University of Utah Department of Dermatology, 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2013-04-09 |
| 1689943219 | Richard H Odell Md PC | Dermatology | 1345 E 3900 S. Suite 110, Salt Lake City, UT 84124 | 2011-12-28 |
| 1255543971 | Norman Everett Bystol | Dermatology | 4021 S 700 East, Suite 300 Comp Health, Salt Lake City, UT 84107 | 2007-05-04 |
| 1740346071 | Rosemary Ann Deshazo | Dermatology | 50 N 1900 E, Univ of Utah Internal Medicine Dept, Som 4c104, Salt Lake City, UT 84132-0001 | 2006-12-29 |
| 1215999875 | Richard H Odell | Dermatology | 1345 E 3900 S Ste 110, Salt Lake City, UT 84124-4403 | 2006-04-06 |
| 1659350049 | Don L Reese | Dermatology | 999 Murray Holladay Rd, Suite 207, Salt Lake City, UT 84117-4901 | 2006-01-13 |
| 1407851595 | Wendy L Matis | Dermatology | 710 E 200 S, Ste 1b, Salt Lake City, UT 84102-2265 | 2005-06-16 |
| 1356905046 | Dev Ram Sahni | Dermatology | 30 N 1900 E Rm 4a330, Salt Lake City, UT 84132-0002 | 2019-04-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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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.