DR. MICHAEL ROY MCFADDEN SR. (NPI# 1811067283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811067283 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL ROY MCFADDEN SR. |
| Credential | M.D. |
| Practice Address |
3584 West 9000 South Suite 401 West Jordan UT 84088 |
| Mailing Address |
Po Box 680290 Park City UT 84068-0290 |
| Practice Telephone | 8015660204 |
| Mailing Telephone | 8014505454 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 159085-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881127728 | Michael Batholomew Mcfadden | Psychiatry & Neurology | 444 N Main St Ste 405, Akron, OH 44310-3110 | 2017-04-07 |
| 1457738189 | Michael Mcfadden | Physical Therapy Assistant | 32767 Freesia Way, Temecula, CA 92592-3412 | 2015-05-01 |
| 1285958017 | Michael Wayne Mcfadden | Military Health Care Provider | 2309 Saguaro Loop, Alamogordo, NM 88310-7775 | 2010-03-23 |
| 1134227374 | Michael D Mcfadden | Otolaryngology | 927 Franklin St Se, Suite 100, Huntsville, AL 35801-4306 | 2006-09-20 |
| 1154394484 | Michael J Mcfadden | Family Medicine | 1301 Main St, Pecatonica, IL 61063-9361 | 2006-02-08 |
| 1437156189 | Michael K. Mcfadden | Physical Medicine & Rehabilitation | 1101 Professional Blvd, Evansville, IN 47714-8016 | 2005-07-07 |
| Street Address |
3584 WEST 9000 SOUTH SUITE 401 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891073508 | Kathryn Louise Edwards | Nurse Practitioner | 3584 West 9000 South, West Jordan, UT 84088 | 2011-07-29 |
| 1487874608 | Oscar C Johnson | Physician Assistant | 3584 West 9000 South, #405, West Jordan, UT 84088 | 2007-04-27 |
| 1053466789 | Kenneth Buchi Md A P C | Specialist | 3584 West 9000 South, Suite 300, West Jordan, UT 84088-5711 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407071665 | Joshua David Holyoak | Urology | 3181 W 9000 S, West Jordan, UT 84088 | 2007-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945061 | Utah Urology Works LLC | Urology | 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | 2020-06-05 |
| 1619402286 | Andrew Mazzone | Urology | University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 | 2017-04-20 |
| 1588195135 | Laurel S. Mast | Urology | 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 | 2017-03-24 |
| 1164845517 | Bruce Wayne Carlin | Urology | 375 Old Farm Ln, Coalville, UT 84017-6706 | 2014-01-21 |
| 1104182476 | Jeffrey David Sparenborg | Urology | 1157 N 300 W Ste 301, Provo, UT 84604-6124 | 2012-04-11 |
| 1588933527 | Hal H Bourne | Urology | 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 | 2011-12-20 |
| 1740598887 | Ihc Health Services Inc | Urology | 4403 Harrison Blvd Ste 4440, Ogden, UT 84403-3291 | 2010-09-23 |
| 1083922926 | Perry T. Walters, M.d. PC | Urology | 425 Medical Drive #112, Bountiful, UT 84010 | 2010-09-14 |
| 1447589288 | Joseph Robert Armstrong | Urology | 3291 Piute Dr, Provo, UT 84604-4849 | 2009-12-07 |
| 1851627756 | Ned Legrande Mangelson | Urology | 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 | 2009-10-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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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.