UTAH PODIATRY GROUP PC (NPI# 1831575760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831575760 |
| Entity Type | Organization |
| Organization Name | UTAH PODIATRY GROUP PC |
| Other Organization Name | ADVANCED FOOT AND ANKLE CENTER |
| Practice Address |
48 W 1500 N Nephi UT 84648-8900 |
| Mailing Address |
Po Box 30015 Salt Lake City UT 84130-0015 |
| Practice Telephone | 4356233200 |
| Practice Fax Number | 8013735200 |
| Mailing Telephone | 8014516060 |
| Mailing Fax Number | 8017979154 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | SUSAN MARIE TAYLOR (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8015050821 |
| Is Organization Subpart | Y |
| Parent Organization Name | UTAH PODIATRY GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DME | 6152070012 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Foot And Ankle Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1659991438 | Utah Podiatry Group PC | Podiatrist | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | 2020-04-21 |
| 1942733415 | Utah Podiatry Group PC | Podiatrist | 345 W 600 S, Ste 408, Heber City, UT 84032-2247 | 2017-04-11 |
| 1598205494 | Utah Podiatry Group PC | Podiatrist | 440 Medical Dr, Ste 1, Bountiful, UT 84010-4950 | 2017-02-27 |
| 1457737579 | Utah Podiatry Group PC | Podiatrist | 1973 North State Street, Provo, UT 84604-1012 | 2015-07-31 |
| 1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
| 1093081101 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E, Suite 301, Salt Lake City, UT 84102 | 2012-03-23 |
| Street Address |
48 W 1500 N |
| City | NEPHI |
| State | UT |
| Zip Code | 84648-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098088 | Bevan Vern Bastian | Radiology | 48 W 1500 N, Nephi, UT 84648-8900 | 2005-07-28 |
| 1093372120 | Landon Wickel | Physical Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2019-05-23 |
| 1073078168 | Capri Seaberg | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2019-02-04 |
| 1902380280 | Robert Lyle Nielson | Nurse Anesthetist, Certified Registered | 48 W 1500 N, Nephi, UT 84648-8900 | 2018-09-21 |
| 1851804272 | Meghan Elise Schmidt | Registered Nurse | 48 W 1500 N, Nephi, UT 84648-8900 | 2017-11-07 |
| 1700239902 | Kristiann Wright | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2016-07-22 |
| 1407207368 | Anita Beales | Occupational Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2016-06-22 |
| 1205217726 | Tia Orton | Speech-Language Pathologist | 48 W 1500 N, Nephi, UT 84648-8900 | 2015-06-10 |
| 1114336443 | Chandler Squire | Physical Therapist | 48 W 1500 N, Nephi, UT 84648-8900 | 2014-08-12 |
| 1760893713 | Jason Rock Standring | Family Medicine | 48 W 1500 N, Nephi, UT 84648-8900 | 2014-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912243825 | Cory Schow | Counselor | 525 West 200 North, Mona, UT 84648 | 2012-12-20 |
| 1609174739 | Ryan Brown | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-03-15 |
| 1194021501 | Daniel Kimball | Counselor | 525 W. 200 N., Mona, UT 84648 | 2011-02-02 |
| 1417260100 | Lucas Kane | Counselor | 525 W 200 N, Mona, UT 84648 | 2010-07-22 |
| 1720316714 | Emily Spencer Poff | Family Medicine | 48 West 1500 North, Nephi, UT 84648 | 2009-12-02 |
| 1801047550 | Marian Janis Nielson | Nurse Practitioner | 48 W. 1500 N., Nephi, UT 84648 | 2008-09-30 |
| 1841481157 | Mosaic | Community/Behavioral Health | 1470 N 200 W, Box 63, Nephi, UT 84648 | 2007-08-05 |
| 1265632939 | Blue Sage Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 580 West 1500 South, Manti, UT 84648 | 2007-07-20 |
| 1528277407 | Juab Co School District | Speech-Language Pathologist | 346 E 600 N, Nephi, UT 84648 | 2007-05-21 |
| 1710194154 | John Willmore | Physical Therapist | 48 West 1600 North, Nephi, UT 84648 | 2007-05-16 |
| Find all providers in zip 84648 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760757348 | Cascade Foot and Ankle PC | Podiatrist | 48 W 1500 N, Nephi, UT 84648-8900 | 2012-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
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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.