CASSITY WRIGHT BALLENTINE (NPI# 1790790111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790790111 |
| Entity Type | Individual |
| Full Name | CASSITY WRIGHT BALLENTINE |
| Other Name | CASSITY WRIGHT |
| Credential | PA-C |
| Practice Address |
5292 College Dr Suite 201 Murray UT 84123-2958 |
| Mailing Address |
9242 Targhee Dr West Jordan UT 84088-6357 |
| Practice Telephone | 3852324457 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7382912-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5292 COLLEGE DR SUITE 201 |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689676892 | Haven Associates Inc | Hospice Care, Community Based | 5292 College Dr, Ste 304, Murray, UT 84123-2960 | 2005-06-01 |
| 1255653101 | Phillip Downing | Physician Assistant | 5292 College Dr, Ste 201, Murray, UT 84123-2672 | 2010-02-19 |
| 1790919645 | Ihc Health Services Inc | Clinic/Center | 5292 College Dr, Ste 200, Murray, UT 84123-2672 | 2009-05-06 |
| 1326212234 | R Scott Haupt Md PC | Plastic Surgery | 5292 College Dr, #302, Murray, UT 84123-2672 | 2008-04-22 |
| 1992985535 | Carlotta Kay Veasy | Nurse Practitioner | 5292 College Dr, Suite 302, Murray, UT 84123-2672 | 2007-11-12 |
| 1306036181 | Daniel W. West | Dentist | 5292 College Dr, Ste. 203, Murray, UT 84123-2672 | 2007-07-27 |
| 1881771871 | Haven Associates Inc | Hospice Care, Community Based | 5292 College Dr, Suite 304, Murray, UT 84123-2672 | 2006-11-01 |
| 1700897923 | Intermountain Heart Center, PC | Internal Medicine | 5292 College Dr, Suite 201, Murray, UT 84123-2672 | 2006-08-11 |
| 1508877119 | Russell Scott Haupt | Specialist | 5292 College Dr, Suite 302, Murray, UT 84123-2672 | 2006-08-10 |
| 1578514477 | Stephen L Miller | Internal Medicine | 5292 College Dr, Suite 201, Murray, UT 84123-2672 | 2006-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| 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 |
|---|---|---|---|---|
| 1447725247 | Shonti G. Breisch | Physician Assistant | 6150 S Vineway Cir, Murray, UT 84121-1947 | 2018-10-08 |
| 1043705866 | Jeffery Mccleve | Physician Assistant | 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 | 2018-06-25 |
| 1518402098 | Philip John Swink | Physician Assistant | 650 E 4500 S Ste 100, Murray, UT 84107-4536 | 2016-12-20 |
| 1760849657 | Molly Ann Nowill | Physician Assistant | 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 | 2016-01-22 |
| 1114399839 | Scott West | Physician Assistant | 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 | 2015-10-21 |
| 1679901169 | Jennifer Aileen Wight | Physician Assistant | 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 | 2013-10-22 |
| 1164728960 | Lex Kiyoshi Grimley | Physician Assistant | 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 | 2011-01-27 |
| 1760618730 | Kelly Lynae Richardson | Physician Assistant | 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 | 2009-06-04 |
| 1184887051 | Meredith Evin Pike | Physician Assistant | 5450 S Green St, Murray, UT 84123-5632 | 2008-07-09 |
| 1215091525 | Matthew M Neddo | Physician Assistant | 5911 S Fashion Blvd, Murray, UT 84107-7352 | 2006-12-21 |
| Find all providers in MURRAY | ||||
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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.