DR. DANIEL SHANE SELLERS (NPI# 1841278942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841278942 |
| Entity Type | Individual |
| Full Name | DR. DANIEL SHANE SELLERS |
| Credential | M.D. |
| Practice Address |
620 Medical Dr Suite 310 Bountiful UT 84010-4908 |
| Mailing Address |
620 East Medical Dr Suite 310 Bountiful UT 84010-5176 |
| Practice Telephone | 8012956554 |
| Mailing Telephone | 8012956554 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
176560-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740226414 | Daniel P Sellers | Physician Assistant | 6500 W Emerald Street, Boise, ID 83704 | 2006-06-21 |
| 1255834529 | Daniel Sellers | Physical Therapist | 613 E Elm St, Sedan, KS 67361-1406 | 2018-03-13 |
| 1841693819 | Daniel Sellers | Physician Assistant | 5741 Bee Ridge Rd Ste 530, Sarasota, FL 34233-5061 | 2014-10-03 |
| Street Address |
620 MEDICAL DR SUITE 310 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294475 | Molly Mears | Obstetrics & Gynecology | 620 Medical Dr, Suite 340, Bountiful, UT 84010-4908 | 2005-09-12 |
| 1083156384 | Melissa Yamashiro | Physician Assistant | 620 Medical Dr, Suite 205, Bountiful, UT 84010-5084 | 2016-11-17 |
| 1114217205 | Andrea P Edwards | Pediatrics | 620 Medical Dr, Suite 100, Bountiful, UT 84010-5084 | 2011-04-11 |
| 1861676165 | Lakeview Neurology PC | Neurological Surgery | 620 Medical Dr, Suite 150, Bountiful, UT 84010-5084 | 2007-12-21 |
| 1205977188 | Jonathan Milton Tew | Pediatrics | 620 Medical Dr, Suite 100, Bountiful, UT 84010-5084 | 2007-02-12 |
| 1598831604 | Laura Maudlyn Zaugg | Advanced Practice Midwife | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-11-28 |
| 1548360217 | Cope Family Medicine Lc | Family Medicine | 620 Medical Dr, Suite 150, Bountiful, UT 84010-5084 | 2006-09-23 |
| 1194825117 | Gina M Muscolino | Specialist | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-09-22 |
| 1831202118 | Lakeview Neurosurgery Clinic, LLC | Psychiatry & Neurology | 620 Medical Dr, Suite 300, Bountiful, UT 84010-5084 | 2006-08-17 |
| 1932112448 | Lakeview Hospital Physician Services LLC | Obstetrics & Gynecology | 620 Medical Dr, Suite 340, Bountiful, UT 84010-5084 | 2006-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194750711 | Daniel S. Sellers M.d. LLC | Plastic Surgery | 620 Medical Dr, Suite 310, Bountiful, UT 84010-5084 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710066378 | James Raymond Fowler | Plastic Surgery | 3864 Parkview Cir, Salt Lake City, UT 84124-2319 | 2006-11-03 |
| 1841380466 | William Bradford Rockwell | Plastic Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1609818616 | Jon B Bishop | Plastic Surgery | 700 W 800 N, Suite 442, Orem, UT 84057-6301 | 2006-06-12 |
| 1851377725 | York J Yates | Plastic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-12-21 |
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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.