DR. DON HOWARD VAN BOERUM (NPI# 1780798033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780798033 |
| Entity Type | Individual |
| Full Name | DR. DON HOWARD VAN BOERUM |
| Credential | M.D. |
| Practice Address |
324 10th Ave #112 Salt Lake City UT 84103-2853 |
| Practice Telephone | 8014083990 |
| Practice Fax Number | 8014085144 |
| Mailing Telephone | 8014083990 |
| Mailing Fax Number | 8014085144 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2013-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A74337 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
A74337 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
A74337 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
324 10TH AVE #112 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700330 | Leon E Paulos | Orthopaedic Surgery | 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | 2005-06-14 |
| 1568715092 | Ihc Health Services Inc | Psychiatry & Neurology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2885 | 2012-10-22 |
| 1568747707 | Nathan Carter Littlefield | Nurse Practitioner | 324 10th Ave, 100, Salt Lake City, UT 84103-2853 | 2011-10-19 |
| 1972824803 | Wasatch Hematology / Oncology Associates, P.C. | Internal Medicine | 324 10th Ave, Suite 274, Salt Lake City, UT 84103-2853 | 2010-06-15 |
| 1235363094 | Ihc Health Services Inc | Clinic/Center | 324 10th Ave, Ste 206, Salt Lake City, UT 84103-2853 | 2009-05-08 |
| 1174776348 | Ihc Health Services Inc | Internal Medicine | 324 10th Ave, #249, Salt Lake City, UT 84103-2853 | 2008-10-31 |
| 1336307966 | Ihc Health Services Inc | Urology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 | 2008-05-30 |
| 1427236082 | Hyong Tae Kim | Surgery | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2008-02-06 |
| 1891979563 | Celia A Garner | Internal Medicine | 324 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2007-12-18 |
| 1851571590 | Richard V. Matern | Urology | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2007-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164965570 | Olympus Valley Surgical Assoicates Pllc | Surgery | 1220 E 3900 S Ste 4e, Salt Lake City, UT 84124-1343 | 2016-12-02 |
| 1437512662 | Salt Lake Trauma Specialists Pllc | Surgery | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2016-04-04 |
| 1245474139 | Orthopaedic Spine Surgeons | Surgery | 590 Wakara Way, Salt Lake City, UT 84108-1200 | 2009-04-23 |
| 1427148030 | Leigh Anne Neumayer | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437578085 | Michael Adam Long | Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2014-04-10 |
| 1992133284 | Ihc Health Services Inc | Surgery | 5169 S Cottonwood St, Ste 400, Murray, UT 84107-6769 | 2013-10-23 |
| 1962596668 | Richard J Yarger | Surgery | 280 N Hospital Dr, Suite 5, Price, UT 84501-4216 | 2006-10-03 |
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.