DERRYK ALLEN (NPI# 1780034959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Street Address |
1100 S MEDICAL DR |
City | MT PLEASANT |
State | UT |
Zip Code | 84647-2222 |
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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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 |
Find all providers in zip 84647 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in MT PLEASANT |
City | MT PLEASANT |
Zip Code | 84647 |
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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.