TEELA SORENSEN (NPI# 1871579920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871579920 |
| Entity Type | Individual |
| Full Name | TEELA SORENSEN |
| Credential | MD |
| Practice Address |
2038 W 1900 S Syracuse UT 84075-9320 |
| Mailing Address |
Po Box 337 Layton UT 84041-0337 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258151 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258151 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 3713701205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | MEDICARE #2 | 005536827 | 01 |
| UT | D2779 | 05 | |
| UT | MEDICARE #3 | 005701332 | 01 |
| Street Address |
2038 W 1900 S |
| City | SYRACUSE |
| State | UT |
| Zip Code | 84075-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493486 | Scott Russell Bishop | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2005-11-03 |
| 1053752121 | Brett T Burtenshaw | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2013-07-17 |
| 1679816078 | Andrew Marc Stevens | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2013-04-03 |
| 1821212291 | Robert Evan Owen | Pediatrics | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-04-13 |
| 1750414314 | Island View Pharmacy | Pharmacy | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-03-13 |
| 1750434577 | David D Farnsworth | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2007-01-18 |
| 1649207606 | Ryan L Stewart | Family Medicine | 2038 W 1900 S, Syracuse, UT 84075 | 2006-06-27 |
| 1043299845 | Tanner Memorial Clinic | Internal Medicine | 2038 W 1900 S, Syracuse, UT 84075-9320 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750775235 | Syracuse Assisted Living Phase I | Assisted Living Facility | 2063 W. 1900 S., Syracuse, UT 84075 | 2015-03-24 |
| 1881975464 | Norman Kent Sharp II | Dentist | 1662 S 2000 W Ste A1, Syracuse, UT 84075 | 2011-09-08 |
| 1245471705 | Ihc Health Services Inc | Family Medicine | 745 South 2000 West, Syracuse, UT 84075 | 2009-03-13 |
| 1124240197 | Richard Jackson | Psychologist | 2650 West 2700 South, Syracuse, UT 84075 | 2007-05-02 |
| 1679799902 | Nathan Wesley Elmore | Chiropractor | 1842 South 2000 West, Syracuse, UT 84075 | 2007-04-17 |
| 1972635332 | Aspen Institute for Behavioral Assessment | Psychiatric Residential Treatment Facility | 2732 W 2700 S, Syracuse, UT 84075 | 2007-03-12 |
| 1427111558 | Sheldon L Peck | Dentist | 1747 S Heritage Lane, Suite A3, Syracuse, UT 84075 | 2006-12-19 |
| 1811081771 | Tyler R Elmore | Chiropractor | 1013 W 2700 S, Syracuse, UT 84075 | 2006-10-03 |
| 1235247438 | Brett R Coleman | Dentist | 780 S 2000 W, Bldg E304, Syracuse, UT 84075 | 2006-08-28 |
| 1164431177 | Kipton Jay Norris | Dentist | 1747 S. Heritage Ln, Suite B-201, Syracuse, UT 84075 | 2006-08-07 |
| Find all providers in zip 84075 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710335 | Safiyah Hosein | Obstetrics & Gynecology | 736 Irving Ave # 3wt, Syracuse, NY 13210-1687 | 2016-06-13 |
| 1669816526 | Kelli Corniello | Obstetrics & Gynecology | 475 Irving Ave Ste 108, Syracuse, NY 13210-1691 | 2013-04-23 |
| 1154556884 | Michelle J Auerbach | Obstetrics & Gynecology | 935 James St, Syracuse, NY 13203-2502 | 2009-05-26 |
| 1033245576 | Althea Hoilett Barrett | Obstetrics & Gynecology | 330 Palace Ct, Apt. C, Syracuse, NY 13212-2842 | 2007-02-27 |
| 1285697300 | The Hill Obgyn Associates PC | Obstetrics & Gynecology | 1000 East Genesee Street, Suite 500, Syracuse, NY 13210 | 2006-04-10 |
| 1033188115 | Alfredo Lopez | Obstetrics & Gynecology | 516 Prospect Ave, Syracuse, NY 13208 | 2006-03-14 |
| 1932173341 | Mark David Adelson | Obstetrics & Gynecology | 770 James St Ste 100b, Syracuse, NY 13203-2642 | 2006-02-14 |
| 1669454492 | Edith M Westpfal | Obstetrics & Gynecology | 4900 Broad Rd., Physicians Office Building South, Suite 2h, Syracuse, NY 13215-2265 | 2005-11-17 |
| 1134119027 | Melissa Brown | Obstetrics & Gynecology | 770 James St, Syracuse, NY 13203-2117 | 2005-10-24 |
| 1629067061 | Carolyn Mary Pover | Obstetrics & Gynecology | 104 Union Avenue and Townsend Street, Suite 803, Syracuse, NY 13203 | 2005-10-18 |
| Find all providers in SYRACUSE | ||||
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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.