DEREK W ANDERSON (NPI# 1821069485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821069485 |
| Entity Type | Individual |
| Full Name | DEREK W ANDERSON |
| Credential | MD |
| Practice Address |
617 E 3900 S Salt Lake City UT 84107-1901 |
| Mailing Address |
Po Box 27688 Salt Lake City UT 84127-0688 |
| Practice Telephone | 8012613141 |
| Mailing Telephone | 8015341360 |
| Mailing Fax Number | 8013669883 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 3789751205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326659798 | Derek Miles Anderson | Nurse Practitioner | 545 Woodward Dr, Fayetteville, GA 30215-7641 | 2020-08-11 |
| 1619476314 | Derek Joshua Anderson | Physical Therapist | 3515 Fannin St Ste 101, Beaumont, TX 77701-3810 | 2018-02-08 |
| 1023558434 | Derek Anderson | Specialist/Technologist | 1227 E Hillcourt, Williston, ND 58801-4454 | 2017-03-03 |
| 1770884546 | Derek Steven Anderson | Chiropractor | 14413 Excelsior Blvd, Minnetonka, MN 55345-5821 | 2010-11-10 |
| 1477181006 | Derek Anderson | Community Health Worker | 120 W Main St, Mesquite, TX 75149-4264 | 2020-03-30 |
| 1497297634 | Derek Anderson | Nutritionist | 6600 Van Aalst Blvd, Building 9250, Fort Benning, GA 31905 | 2016-11-04 |
| 1003364928 | Derek Ryan Anderson | Psychologist | 9600 Veterans Dr Sw, Rehabilitation Care Service (a-117-rcs), Tacoma, WA 98493-0003 | 2016-09-20 |
| 1972976959 | Derek Anderson | Case Manager/Care Coordinator | 111 North St, Rapid City, SD 57701-1163 | 2015-11-12 |
| 1255491635 | Derek Nathan Anderson | Family Medicine | 1105 Portland Ave, Suite 2, Gladstone, OR 97027-2170 | 2006-12-08 |
| 1568468171 | Derek James Anderson | Family Medicine | 9001 Summa Ave, Baton Rouge, LA 70809-3726 | 2005-06-28 |
| Street Address |
617 E 3900 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932415031 | Anesthesia Professionals, LLC | Anesthesiology | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2010-08-26 |
| 1164694832 | Mountain View Foot Clinic LLC | Podiatrist | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2008-04-02 |
| 1962442822 | Steven Paul Royall | Podiatrist | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2006-06-08 |
| 1487616793 | Salt Lake Surgical Center Lp | Clinic/Center | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2006-04-03 |
| 1578534137 | Joan Bessey | Nurse Anesthetist, Certified Registered | 617 E 3900 S, Salt Lake City, UT 84107-1901 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1881125896 | Blain Chaise Housley | Anesthesiology | 30 N 1900 E # 3c444, Salt Lake City, UT 84132-3440 | 2017-03-22 |
| 1609225762 | Jason Douglas Williams | Anesthesiology | 1609225762, Salt Lake City, UT 84132-0002 | 2016-06-09 |
| 1104270438 | Kasinda Goodwin | Anesthesiology | 3425 S Paige Cir, Salt Lake City, UT 84109-3179 | 2016-04-22 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| 1952796526 | Peter Schoene | Anesthesiology | 30 N 1900 3c444, Salt Lake City, UT 84132-0001 | 2015-04-01 |
| 1487073169 | Ashka Rajul Shah | Anesthesiology | Department of Anesthesiology 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-5045 | 2014-04-10 |
| 1639519390 | Daniel Justin Falk | Anesthesiology | University of Utah Hospital 30 North 1900, 1c412, Salt Lake City, UT 84132-0001 | 2013-06-26 |
| 1912240391 | Jie Luo | Anesthesiology | 1220 E 3900 S Ste 30, Salt Lake City, UT 84124-1377 | 2013-04-03 |
| 1740526169 | John B English | Anesthesiology | 3621 E Millcreek Canyon Rd, Salt Lake City, UT 84109-3852 | 2012-12-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.