MIR-MUSTAFA MIR-KASIMOV (NPI# 1841401155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841401155 |
| Entity Type | Individual |
| Full Name | MIR-MUSTAFA MIR-KASIMOV |
| Credential | MD |
| Practice Address |
2055 N Main St Tooele UT 84074-9819 |
| Mailing Address |
370 E South Temple Ste 260 Salt Lake City UT 84111-1290 |
| Practice Telephone | 8014637415 |
| Mailing Telephone | 8014637415 |
| Mailing Fax Number | 8014637341 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 61209461205 | UT | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | 6120946-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2055 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip Code | 84074-9819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459479 | James Thomas Webber | Radiology | 2055 N Main St, Tooele, UT 84074-9819 | 2005-07-05 |
| 1992331334 | Ryan Michael Tullis | Emergency Medical Technician, Paramedic | 2055 N Main St, Tooele, UT 84074-9819 | 2020-03-17 |
| 1568908929 | Breann Nicole Banford | Registered Nurse | 2055 N Main St, Tooele, UT 84074-9819 | 2017-01-10 |
| 1467693473 | Cory Ann Hansen | Dietitian, Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2009-03-20 |
| 1013107838 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-27 |
| 1477753705 | Tooele Hospital Corporation Inc | Ambulance | 2055 N Main St, Tooele, UT 84074-9819 | 2007-07-24 |
| 1568597763 | Ronald Scott Overy | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-21 |
| 1942345764 | Alan M. Layton | Pharmacist | 2055 N Main St, Tooele, UT 84074-9819 | 2007-02-20 |
| 1730233735 | Tooele Hospital Corporation | Clinic/Center | 2055 N Main St, Tooele, UT 84074-9819 | 2007-01-23 |
| 1972683498 | Dean Dennis Severson | Nurse Anesthetist, Certified Registered | 2055 N Main St, Tooele, UT 84074-9819 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689233397 | Leah Elizabeth Harper I | Behavior Technician | 39 Millpond Stansbury Park, Tooele, UT 84074 | 2019-06-07 |
| 1245710789 | Tanna Marie Shelley | Community Health Worker | 27 So Main St, Tooele, UT 84074 | 2018-08-15 |
| 1528548062 | Barbara T Cederlof | Community Health Worker | 27 South Main St., Tooele, UT 84074 | 2018-08-15 |
| 1235615600 | Ashley Christine Wilson | Case Manager/Care Coordinator | 27 South Main, Tooele, UT 84074 | 2018-07-18 |
| 1174016976 | Makenzie Green | Case Manager/Care Coordinator | 27 S Main, Tooele, UT 84074 | 2018-06-07 |
| 1386151835 | Monica Lee | Physical Therapist | 6727 Ut-36 #300, Stansbury Park, UT 84074 | 2018-01-05 |
| 1871976183 | Pagnani Physical Therapy | Physical Therapist | 6727 North State Hwy 36, Suite 300, Stansbury Park, UT 84074 | 2015-07-06 |
| 1407248222 | Pebble Creek Counseling Center | Counselor | 494 E 2400 N Ste B, Tooele, UT 84074 | 2015-03-03 |
| 1528496221 | Emily Carlson | Case Manager/Care Coordinator | 220 North Millpond Rd, Suite 100, Stansbury Park, UT 84074 | 2013-10-16 |
| 1710327218 | Angela Michelle Demoss | Nurse Practitioner | 682 Country Club, Stansbury Park, UT 84074 | 2013-06-28 |
| Find all providers in zip 84074 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512364 | Tooele Clinic Corp | Internal Medicine | 1887 Aaron Dr Ste B, Tooele, UT 84074-8138 | 2005-07-19 |
| 1619074986 | Associates for Inpatient Medicine | Internal Medicine | 2055 N Main St, Tooele, UT 84074-9819 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698077 | Gayle Marie Mortensen | Internal Medicine | 1619 Hillsboro Dr, Layton, UT 84040-8250 | 2020-10-27 |
| 1992310825 | Novellus Integrative Medicine, LLC | Internal Medicine | 3397 N 1200 E Ste 108, Lehi, UT 84043-3262 | 2020-09-08 |
| 1083226369 | Advanced Wound Care | Internal Medicine | 871 S 500 W, Payson, UT 84651-3201 | 2020-08-19 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1821558024 | Millcreek Medical Pllc | Internal Medicine | 5526 S Van Winkle Expy, Murray, UT 84117-7324 | 2019-03-22 |
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MIR-MUSTAFA MIR-KASIMOV.
| 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.