PROACTIVE PAIN CENTER


Address: 10965 S State St, Sandy, UT 84070-4270
Phone: 3854146267

PROACTIVE PAIN CENTER (NPI# 1770961955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770961955
Entity Type Organization
Organization Name PROACTIVE PAIN CENTER
Practice Address 10965 S State St
Sandy
UT 84070-4270
Practice Telephone 3854146267
Mailing Telephone 3854146267
Enumeration Date 2015-05-08
Last Update Date 2015-05-08
Authorized Official Name JODIE CUNNINGHAM (OWNER)
Authorized Official Telephone 3854146267
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 305S00000X Point of Service ========= UT Managed Care Organizations
Y 305R00000X Preferred Provider Organization ========= UT Managed Care Organizations

Office Location

Street Address 10965 S STATE ST
City SANDY
State UT
Zip Code 84070-4270

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588698831 Robin Scott Poppen Internal Medicine 10965 S State St, Suite 100, Sandy, UT 84070-4270 2006-07-11
1477921112 Jml Lab Solutions Physiological Laboratory 10965 S State St, Sandy, UT 84070-4270 2015-09-11
1316297880 Action Health Centers, LLC Preventive Medicine 10965 S State St, Sandy, UT 84070-4270 2012-09-12
1568665784 Barbara Smith-holmen Registered Nurse 10965 S State St, #100, Sandy, UT 84070-4270 2007-06-06
1821193897 Utah Physicians Care Center Internal Medicine 10965 S State St, Suite 100, Sandy, UT 84070-4270 2006-09-14
1407871510 Richard Bennett Internal Medicine 10965 S State St, #100, Sandy, UT 84070-4270 2006-07-12
1912922923 Kevin Tschetter Internal Medicine 10965 S State St, #100, Sandy, UT 84070-4270 2006-07-12
1972528982 Kevin Stigge Internal Medicine 10965 S State St, #100, Sandy, UT 84070-4270 2006-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639777568 Megan Komatsu Inc. Social Worker 10815 700 East, Sandy, UT 84070 2020-10-13
1841803137 Anywhere Care Nurse Practitioner 9980 S. 300 W. Suite 200, Sandy, UT 84070 2020-08-26
1245840552 Kirandeep Kaur Psychologist 9678 700 E # 102, Sandy, UT 84070 2020-08-03
1740890961 Elizabeth Lowe Madsen Counselor 9678 700 East Suite 102, Sandy, UT 84070 2020-08-03
1417597188 Hayley Burr Counselor 8706 700 E, Suite 205, Sandy, UT 84070 2020-01-10
1821656422 Karen Ritchie Counselor 9192 South 300 West, Sandy, UT 84070 2019-05-30
1679068159 Derek Livingston Counselor 11075 State St #35, Sandy, UT 84070 2018-06-27
1891283735 Alta Rx LLC. Pharmacy 9883 South 500 West, Sandy, UT 84070 2018-04-26
1790273704 The Addiction Medicine Physicians Group, LLC Registered Nurse 9160 S 300 E. Ste 25, Sandy, UT 84070 2018-04-25
1841794765 Caryn Beazel Physical Therapist 9350 150 E, Sandy, UT 84070 2018-03-23
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Taxonomy Information

Taxonomy Code 305R00000X
Grouping Managed Care Organizations
Classification Preferred Provider Organization

Taxonomy Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952841819 Pinnacle Recovery Iop Preferred Provider Organization 9102 S 300 W, Sandy, UT 84070-2643 2017-02-26
1952468365 Life Centre Physical Therapy Preferred Provider Organization 9844 S 1300 E Ste 150, Sandy, UT 84094-4687 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649820580 Assertahealth Inc. Preferred Provider Organization 10421 S Jordan Gtwy Ste 660, South Jordan, UT 84095-3905 2019-09-12
1194273524 New Horizon Preferred Provider Organization 1420 W 12600 Sputh, Draper, UT 84065 2016-09-14
1780037879 Summit Senior Living LLC Preferred Provider Organization 5524 W 6200 S, Kearns, UT 84118-7925 2016-07-13
1578928172 Sugar House Dental Management LLC Preferred Provider Organization 1955 S 1300 E Ste L2, Salt Lake City, UT 84105-3675 2015-12-23
1790152551 Helping Hands In-home Care LLC Preferred Provider Organization 690 N 3900 W, Cedar City, UT 84721-8130 2015-08-27
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
1407261506 Utah Facial & Oral Surgery Preferred Provider Organization 3473 W South Jordan Pkwy, #4, South Jordan, UT 84095-6015 2014-06-26
1972928760 Heros for Independent Living Preferred Provider Organization 655 Medical Dr, Suite 103, Bountiful, UT 84010-5168 2014-03-03
1316172596 The Tooth Doctor Preferred Provider Organization 2180 E Fort Union Blvd., Salt Lake City, UT 84121 2009-05-18
1265677678 Edward K. Madsen, M.d., A Professional Corporation Preferred Provider Organization 590 E 100 N Ste 4, Price, UT 84501-2600 2008-12-14
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Competitor

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City SANDY
Zip Code 84070

Improve Information

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Dataset Information

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.

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