NEUROLOGY SPECIALTY CLINIC, PLLC (NPI# 1861837924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861837924 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY SPECIALTY CLINIC, PLLC |
| Practice Address |
11762 S State St Ste 333 Draper UT 84020-7155 |
| Mailing Address |
Po Box 970802 Orem UT 84097-0802 |
| Practice Telephone | 8014737035 |
| Practice Fax Number | 8016071467 |
| Mailing Telephone | 8014737035 |
| Mailing Fax Number | 8016071467 |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |
| Authorized Official Name | KAREN WATKINS (BILLING MANAGER) |
| Authorized Official Telephone | 8014737035 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1706651205 | UT | Ambulatory Health Care Facilities |
| Street Address |
11762 S STATE ST STE 333 |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-7155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609859297 | Mark H Keep | Specialist | 11762 S State St, 360, Draper, UT 84020-7155 | 2005-11-28 |
| 1164913976 | Patricia Withus | Counselor | 11762 S State St, Draper, UT 84020-7155 | 2018-05-29 |
| 1558872309 | Brio Utah Home Health LLC | Home Health | 11762 S State St, Draper, UT 84020-7155 | 2017-10-19 |
| 1104365204 | Rachael Collins | Counselor | 11762 S State St, Draper, UT 84020-7155 | 2017-02-22 |
| 1043759285 | Cory Reich | Counselor | 11762 S State St, Ste 360, Draper, UT 84020-7155 | 2017-02-21 |
| 1346795325 | Brio Mental Health LLC | Community/Behavioral Health | 11762 S State St, 350, Draper, UT 84020-7155 | 2016-08-19 |
| 1992125553 | The Phoenix Recovery Center LLC | Counselor | 11762 S State St, Suite 360, Draper, UT 84020-7155 | 2014-04-22 |
| 1124369988 | Jason Ryan Vance | Chiropractor | 11762 S State St, Suite 320, Draper, UT 84020-7155 | 2013-03-04 |
| 1376810176 | Actijoint, LLC | Prosthetic/Orthotic Supplier | 11762 S State St, Suite 110, Draper, UT 84020-7155 | 2011-11-22 |
| 1891093167 | Hand & Orthopedic Rehabilitation Specialists | Specialist | 11762 S State St, #120, Draper, UT 84020-7155 | 2011-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1497316905 | The West Clinic Draper | Clinic/Center | 12371 S 900 E, Draper, UT 84020-9833 | 2019-06-25 |
| 1598009136 | Iaa Draper Inc | Clinic/Center | 12422 S 450 E, Suite C, Draper, UT 84020-8050 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596339 | Adams Chiropractic Inc. | Clinic/Center | 3336 S Pioneer Pkwy Ste 202, West Valley City, UT 84120-2080 | 2019-12-23 |
| 1235691510 | Desert Bloom Plastic Surgery LLC | Clinic/Center | 446 S Mall Dr Ste 1, St George, UT 84790-4944 | 2019-04-04 |
| 1568952190 | Bear River Valley Medical LLC | Clinic/Center | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2018-05-18 |
| 1376944942 | Legacy Dermatology | Clinic/Center | 320 W 500 S, Suite 210, Bountiful, UT 84010-7218 | 2014-09-14 |
| 1821417684 | James E Wellman Md | Clinic/Center | 5998 Spring Canyon Rd, Ogden, UT 84403-5476 | 2014-04-09 |
| 1255769386 | Slc Diagnostic Imaging | Clinic/Center | 6202 W Freedom Hill Way, Herriman, UT 84096-6987 | 2013-10-29 |
| 1013269406 | Cnm | Clinic/Center | 4749 S Holladay Blvd, Holladay, UT 84117-5420 | 2012-10-09 |
| 1023381241 | Clifford G Harman | Clinic/Center | 12091 Lampton View Dr, Riverton, UT 84065-7834 | 2012-02-18 |
| 1386814168 | Seeholzer Vision Center, Inc | Clinic/Center | 124 N Main Street, Logan, UT 84321 | 2008-03-07 |
| 1508862947 | Dixie Surgery Center, Inc | Clinic/Center | 1085 S Bluff St, St George, UT 84770-5245 | 2005-06-21 |
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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.