MEDELA WOUND CARE, LLC (NPI# 1801437645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801437645 |
| Entity Type | Organization |
| Organization Name | MEDELA WOUND CARE, LLC |
| Practice Address |
2230 N University Pkwy Ste 6b Provo UT 84604-1584 |
| Mailing Address |
5064 N Ravencrest Ln Lehi UT 84043-7725 |
| Practice Telephone | 8014403034 |
| Mailing Telephone | 8014403034 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Authorized Official Name | DR. JOSEPH CLARK FYANS (OWNER) |
| Authorized Official Telephone | 8014403034 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
2230 N UNIVERSITY PKWY STE 6B |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669872313 | Eric Henry Walker | Chiropractor | 2230 N University Pkwy Ste 6b, Provo, UT 84604-1584 | 2014-08-31 |
| 1154801058 | Jn Wadsworth | Chiropractor | 2230 N University Pkwy Ste 6b, Provo, UT 84604-1584 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639482920 | Steven Patrick Kreis | Physical Medicine & Rehabilitation | 395 W Bulldog Blvd Fl 5, Provo, UT 84604-3323 | 2010-07-15 |
| 1144455833 | Jody Quick Wixom | Physical Medicine & Rehabilitation | 1055 N 300 W Ste 410, Provo, UT 84604-3354 | 2009-05-25 |
| 1265630693 | Ihc Health Services Inc | Physical Medicine & Rehabilitation | 395 W Bulldog Blvd Ste 502, Provo, UT 84604 | 2007-07-06 |
| 1497252126 | Karen Swisher | Physical Medicine & Rehabilitation | 1001 N 500 W, Provo, UT 84604-3305 | 2018-04-09 |
| 1306163555 | Utah Valley Physical Medicine and Rehabilitation, PC | Physical Medicine & Rehabilitation | 1034 N 500 W, Provo, UT 84604-3380 | 2010-04-28 |
| 1538393319 | Zachary Allen Allred | Physical Medicine & Rehabilitation | 1055 N 300 W, Suite #410, Provo, UT 84604-3344 | 2009-05-08 |
| 1336302546 | Benjamin Steven Crouch | Physical Medicine & Rehabilitation | 1055 N 500 W Ste 121, Provo, UT 84604-3305 | 2008-07-08 |
| 1245425750 | Kirk W Leininger | Physical Medicine & Rehabilitation | 1034 N 500 W, Provo, UT 84604-3380 | 2007-09-07 |
| 1164503900 | Ronald Gary Duerksen | Physical Medicine & Rehabilitation | 1055 North 300 West, Suite 416, Provo, UT 84604-3354 | 2006-10-18 |
| 1386653772 | Kirk W Leininger | Physical Medicine & Rehabilitation | 1055 N 300 W, #410, Provo, UT 84604-3344 | 2006-08-05 |
| Find all providers in PROVO | ||||
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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.