DR. SPENCER BOWEN HENINGER (NPI# 1790781292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790781292 |
| Entity Type | Individual |
| Full Name | DR. SPENCER BOWEN HENINGER |
| Credential | DPM |
| Practice Address |
2310 N 400 E Ste A North Logan UT 84341-1788 |
| Mailing Address |
2310 N 400 E Ste A Logan UT 84341-1788 |
| Practice Telephone | 4357872000 |
| Practice Fax Number | 4357871913 |
| Mailing Telephone | 4357872000 |
| Mailing Fax Number | 4357871913 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 5336197-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| Street Address |
2310 N 400 E STE A |
| City | NORTH LOGAN |
| State | UT |
| Zip Code | 84341-1788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912233305 | Jeffrey J Pulley | Physician Assistant | 2310 N 400 E, Suite A, North Logan, UT 84341-1788 | 2009-10-20 |
| 1679701718 | David Michael Rowley | Orthopaedic Surgery | 2310 N 400 E, Suite A, North Logan, UT 84341-1788 | 2009-06-28 |
| 1497911556 | Shaun M Petersen | Physician Assistant | 2310 N 400 E, Ste A, North Logan, UT 84341-1788 | 2008-07-29 |
| 1902905763 | Brent Warburton Miller | Orthopaedic Surgery | 2310 N 400 E, Ste A, North Logan, UT 84341-1788 | 2006-09-21 |
| 1134239254 | Charles R Acevedo | Physical Therapist | 2310 N 400 E, Ste C, North Logan, UT 84341 | 2006-08-30 |
| 1972613099 | Susan A Doucette | Physical Therapist | 2310 N 400 E, Suite C, North Logan, UT 84341 | 2006-08-30 |
| 1447360581 | Jason M Christiansen | Physical Therapist | 2310 N 400 E, Ste C, North Logan, UT 84341 | 2006-08-30 |
| 1578569646 | Mountain View Foot and Ankle Specialists Inc | Podiatrist | 2310 N 400 E, Suite A, North Logan, UT 84341-1788 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538701529 | Aubrey Salmond | Registered Nurse | 500 East 1500 N, Logan, UT 84341 | 2019-10-11 |
| 1043702046 | Eye Pros of Logan LLC | Optometrist | 1475 N Main St Ste 103, Logan, UT 84341 | 2018-06-05 |
| 1275050452 | Rylie Jeanne Cook | Student in an Organized Health Care Education/Training Program | 11 Aggie Village Apt. J, Logan, UT 84341 | 2017-08-28 |
| 1093262156 | Jessica Lynn Mcgarry | Social Worker | 1040 N 130 W, Apt 100, Logan, UT 84341 | 2016-09-07 |
| 1740663566 | Paul R Gregory | Occupational Therapy Assistant | 1300 N 500 E Suite 120, Suite 120, Logan, UT 84341 | 2015-06-30 |
| 1851708846 | Bradley Budge | Optometrist | 535 E 1400 N Ste 130, Logan, UT 84341 | 2014-07-22 |
| 1386058709 | Daniel Raymond Carlson | Physician Assistant | 500 E. 1400 N., Logan, UT 84341 | 2014-06-13 |
| 1902220239 | Work Injury Solutions Inc. | Clinic/Center | 630 E 1400 N Ste 140, Logan, UT 84341 | 2014-02-06 |
| 1750627287 | Lee Martin Williams Sr. | Counselor | 186 E. 1800 N., North Logan, UT 84341 | 2013-01-03 |
| 1669747804 | Ronald J Payne | Internal Medicine | 1726 North 1850 East, North Logan, UT 84341 | 2012-03-21 |
| Find all providers in zip 84341 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589258 | Valley Foot & Ankle | Podiatrist | 777 N 500 W Ste 103, Provo, UT 84601-1552 | 2018-08-24 |
| 1821514191 | Foot & Ankle Institute of Utah LLC | Podiatrist | 3584 W 9000 S Ste 301, West Jordan, UT 84088-5711 | 2017-08-18 |
| 1447771993 | Ihc Health Services Inc | Podiatrist | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1720514268 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 7000 S 1561 W, #100, West Jordan, UT 84084 | 2017-05-03 |
| 1043745987 | Utah Podiatric Physicians and Surgeons Group LLC | Podiatrist | 150 N Main St Ste 202, Heber City, UT 84032-1671 | 2017-04-28 |
| 1205214053 | Elizabeth Tronstein | Podiatrist | 8822 S Redwood Rd Ste E121, West Jordan, UT 84088-5763 | 2015-05-13 |
| 1063807485 | Salt Lake Foot and Ankle Pllc | Podiatrist | 315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492 | 2015-04-02 |
| 1881091601 | Ingrown Toenails Only | Podiatrist | 4019 W 12600 S Ste 120b, Riverton, UT 84096-7401 | 2014-11-21 |
| 1750794533 | Scott Humpherys, Dpm Inc | Podiatrist | 1355 N. University Ave, #125, Provo, UT 84604-2722 | 2014-06-09 |
| 1508115080 | Richard Eason Dpm PC | Podiatrist | 2269 W Bonanza Ct, South Jordan, UT 84095-8903 | 2012-08-30 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LOGAN |
| Zip Code | 84341 |
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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.