DERRYK ALLEN


Address: 1100 S Medical Dr, Mt Pleasant, UT 84647-2222
Phone: 4354623471

DERRYK ALLEN (NPI# 1780034959) 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) 1780034959
Entity Type Individual
Full Name DERRYK ALLEN
Credential PA-C
Practice Address 1100 S Medical Dr
Mt Pleasant
UT 84647-2222
Practice Telephone 4354623471
Mailing Telephone 4354623471
Enumeration Date 2016-06-17
Last Update Date 2016-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 5472057-1206 UT Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
5472057-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1100 S MEDICAL DR
City MT PLEASANT
State UT
Zip Code 84647-2222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487657763 Brooks D Thompson Family Medicine 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2005-05-31
1871980599 Melissa Anne Baugh Dietitian, Registered 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2015-04-20
1750797346 Erin Dellamas Dietitian, Registered 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2014-07-03
1528495645 Katherine Elizabeth Edgar Registered Nurse 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2013-10-03
1023323797 Brianna Rhodes Dietitian, Registered 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2010-08-18
1427376185 Ihc Health Services Clinic/Center 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2010-05-05
1396990883 Ihc Health Services Inc Internal Medicine 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2008-11-25
1518146273 Rebeckah B Christensen Registered Nurse 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2007-10-30
1649473851 Shawna L Rasmussen Dietitian, Registered 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2007-06-06
1619188018 Tammy P Tucker Registered Nurse 1100 S Medical Dr, Mt Pleasant, UT 84647-2222 2007-05-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295266559 Aspiro Adventure LLC Substance Abuse Rehabilitation Facility 695 W Wakara Ave, Mt Pleasant, UT 84647 2017-03-27
1073069340 Sequel Youth Services of Mt. Pleasant Community Based Residential Treatment Facility, Mental Illness 1100 South 70 West, Mt. Pleasant, UT 84647 2016-08-28
1780056655 Linda Dimmick Registered Nurse 265 North State Street, Mount Pleasant, UT 84647 2015-10-30
1417201419 Timothy Roger Stevens Physician Assistant 1075 S Hwy 89, Mt Pleasant, UT 84647 2012-10-30
1477819878 Mt Pleasant Campus Substance Abuse Rehabilitation Facility 1170 South 70 West, Mt. Pleasant, UT 84647 2012-04-10
1700946589 Jan Christer Jonson Physician Assistant 1125 Blackhawk Blvd, Central Utah Clinic Family Medicine, Mt Pleasant, UT 84647 2006-12-11
1154411601 Abc Enterprises I, LLC Pharmacy 1050 South Medical Drive Suite B, Mt. Pleasant, UT 84647 2006-10-13
1518908110 Allen M Day Family Medicine 1075 S Highway 89, Mt Pleasant, UT 84647 2006-06-08
1396790465 Steve Houston Meek Nurse Anesthetist, Certified Registered 1100 South Medical Dr, Mt Pleasant, UT 84647 2006-05-24
1962746453 Cristofer N Urlaub Counselor 18750 N 6750 E, Mt Pleasant, UT 84647 2012-11-21
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497300099 Blaire Brooks Physician Assistant 1509 Candlewood Dr, Mt Pleasant, SC 29464-9763 2019-08-09
1720556335 Katelyn D'haene Physician Assistant 1280 E Campus Dr, Mt Pleasant, MI 48858-3803 2018-11-13
1619445228 Kamryn Shaw Physician Assistant 1201 South Dr Ste 371, Mt Pleasant, MI 48858-3255 2018-11-13
1083182695 Robin M Hermes Physician Assistant 4851 E Pickard St Ste 2100, Mt Pleasant, MI 48858-2039 2018-11-13
1467928614 Lindsay Nicole Miller Physician Assistant 990 Lake Hunter Cir Ste 1a, Mt Pleasant, SC 29464-5426 2018-10-15
1073065181 Allison Marie Lester Physician Assistant 745 Chatter Rd, Mt Pleasant, SC 29464-5157 2016-10-25
1366797375 East Cooper Coastal Family Physicians Physician Assistant 1200 Two Island Court Suite E, Mt Pleasant, SC 29464 2012-07-16
1891072542 Mary Allison Voight Physician Assistant 180 Wingo Way Ste 306, Mt Pleasant, SC 29464-1812 2011-11-09
1174814461 Laura Fitzgerald Browning Physician Assistant 180 Wingo Way Ste 202, Mt Pleasant, SC 29464-1811 2011-04-21
1053648220 Mid-michigan Neurology Center, Pllc Physician Assistant 4595 Jennifer Ln, Mt Pleasant, MI 48858-2064 2009-11-10
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Competitor

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City MT PLEASANT
Zip Code 84647

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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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