DR. GITANA STASKUS (NPI# 1790842706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790842706 |
| Entity Type | Individual |
| Full Name | DR. GITANA STASKUS |
| Credential | MD |
| Practice Address |
615 Arapeen Dr Suite 100 Salt Lake City UT 84108-1267 |
| Practice Telephone | 8015817761 |
| Mailing Telephone | 8015817761 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036-109743 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109743 1 | 05 |
| Street Address |
615 ARAPEEN DR SUITE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033189543 | Denise M Small | Pharmacist | 615 Arapeen Dr, Salt Lake City, UT 84108-1267 | 2006-01-25 |
| 1609134477 | Janet H. Sirstins | Registered Nurse | 615 Arapeen Dr, Suite #100, Salt Lake City, UT 84108-1267 | 2012-04-30 |
| 1760740542 | Christine M Badger | Registered Nurse | 615 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2012-04-30 |
| 1902164783 | Sherrie L Hardy | Dietitian, Registered | 615 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2012-04-30 |
| 1245425032 | Marissa Grotzke | Internal Medicine | 615 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2007-09-13 |
| 1093910796 | Amnon Schlegel | Internal Medicine | 615 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2007-06-20 |
| 1356559611 | Diabetes Specialty Center LLC | Durable Medical Equipment & Medical Supplies | 615 Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2007-05-18 |
| 1780729632 | Trina Zuehlsdorff Brown | Nurse Practitioner | 615 Arapeen Dr, 100, Salt Lake City, UT 84108-1267 | 2007-02-20 |
| 1528158144 | Devaprabu Abraham | Internal Medicine | 615 Arapeen Dr, 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1427148022 | Robert E. Jones | Internal Medicine | 615 Arapeen Dr, 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700294428 | James Craven | Internal Medicine | 30 N 1900 E Som, Department of Medicine Office of Education, Salt Lake City, UT 84132 | 2014-07-25 |
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1588754063 | Debra Lynn Simmons | Internal Medicine | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1033209614 | Eliot Ashby Brinton | Internal Medicine | 421 S Wakara Way Ste 121, Salt Lake City, UT 84108-1244 | 2006-10-13 |
| 1467474676 | Bruce Ryan Brady | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2006-07-24 |
| 1952327173 | Simon J Fisher | Internal Medicine | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2006-07-14 |
| 1417989971 | Alireza Falahati-nini | Internal Medicine | 470 E 3900 S, Suite 200, Salt Lake City, UT 84107 | 2006-07-07 |
| 1710466115 | Jc Aljammal Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-08-07 |
| 1992298970 | Shahzad Ahmad Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-06-13 |
| 1851741342 | Abhilasha Singh | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
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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.