DR. JUSTIN RAY MAROSTICA (NPI# 1851526503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851526503 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN RAY MAROSTICA |
| Credential | D.M.D |
| Practice Address |
26 South 2000 East Suite 5900 University Utah Hospital Salt Lake City UT 84112-5750 |
| Mailing Address |
4711 S. Falkirk Drive Murray UT 84107 |
| Practice Telephone | 8012132731 |
| Mailing Telephone | 6106759434 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
26 SOUTH 2000 EAST SUITE 5900 UNIVERSITY UTAH HOSPITAL |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1669090502 | Kelly Maree Gutpell | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 | 2020-07-07 |
| 1134744014 | Scarlet Reyes | Student in an Organized Health Care Education/Training Program | 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 | 2020-06-16 |
| 1215553151 | Andrew Winn Bringhurst | Student in an Organized Health Care Education/Training Program | 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 | 2020-06-16 |
| 1134744287 | Jillian G Barker | Student in an Organized Health Care Education/Training Program | 1345 S 400 E, Salt Lake City, UT 84115-1548 | 2020-06-15 |
| 1114542255 | Gustavo Carrillo | Student in an Organized Health Care Education/Training Program | 1652 W 800 S, Salt Lake City, UT 84104-3112 | 2020-06-15 |
| 1982229035 | Cristhian V. Toruno | Student in an Organized Health Care Education/Training Program | 448 N 1100 W, Salt Lake City, UT 84116-2649 | 2020-06-15 |
| 1144845108 | Huong T Pham | Student in an Organized Health Care Education/Training Program | 319 E Beldon Pl, Salt Lake City, UT 84111-3516 | 2020-06-15 |
| 1790300754 | Krista Huffaker | Student in an Organized Health Care Education/Training Program | 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 | 2020-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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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.