MARK D MORASCH (NPI# 1790719219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790719219 |
| Entity Type | Individual |
| Full Name | MARK D MORASCH |
| Credential | M.D. |
| Practice Address |
1160 E 3900 S Ste 3500 Salt Lake City UT 84124-1264 |
| Mailing Address |
Po Box 35100 Billings MT 59107-5100 |
| Practice Telephone | 8012622806 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-05-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
18479 | MT | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036085648 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036085648 | 05 |
| Street Address |
1160 E 3900 S STE 3500 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063882272 | Gabriel Dan Frampton | Physician Assistant | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2015-09-30 |
| 1831287242 | Fritz R Bech | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235398645 | Grant Bryan Erickson | Surgery | Dept Vascular Surgey, 30 North 1900 East, Room 3c 344 Som, Salt Lake City, UT 84132-0001 | 2008-06-02 |
| 1437347770 | Summit Laser Medical Arts, LLC | Surgery | 2952 Caitland Ct, Salt Lake City, UT 84121-7018 | 2007-10-11 |
| 1922552413 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-12 |
| 1720482532 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073956793 | Ian Schlieder | Surgery | 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 | 2013-04-11 |
| 1083761951 | Aaron Eckhauser | Surgery | 100 N. Mario Capecchi Dr, Suite 2800, Salt Lake City, UT 84113-1103 | 2007-01-04 |
| 1437249042 | Michelle Tower Mueller | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
| 1467542084 | Mark Russell Sarfati | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2006-10-13 |
| 1962592576 | Larry W. Kraiss | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1831287242 | Fritz R Bech | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-10-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.