TIMOTHY L PEFAUR


Address: 22 S 900 E, Salt Lake City, UT 84102-1307
Phone: 8013282522

TIMOTHY L PEFAUR (NPI# 1871628404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871628404
Entity Type Individual
Full Name TIMOTHY L PEFAUR
Credential PA-C
Practice Address 22 S 900 E
Salt Lake City
UT 84102-1307
Mailing Address 22 S 900 E
Slc
UT 84102-1307
Practice Telephone 8013282522
Mailing Telephone 8013282522
Enumeration Date 2007-02-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 309333-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 22 S 900 E
City SALT LAKE CITY
State UT
Zip Code 84102-1307

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942313796 Steven K Miller Otolaryngology 22 S 900 E, Salt Lake City, UT 84102-1307 2006-08-16
1649800210 Summer Ann Price Speech-Language Pathologist 22 S 900 E, Salt Lake City, UT 84102-1307 2020-01-22
1134610090 Michelle Adelaide Parker Speech-Language Pathologist 22 S 900 E, Salt Lake City, UT 84102-1307 2018-05-25
1689072753 Nancy S Sengmanichanh Physician Assistant 22 S 900 E, Salt Lake City, UT 84102-1307 2014-12-05
1790093201 Stephen A Spurlock Physician Assistant 22 S 900 E, Salt Lake City, UT 84102-1307 2010-09-17
1851621098 Margaret Lee Clarke Audiologist 22 S 900 E, Salt Lake City, UT 84102-1307 2010-01-11
1881844280 Ear, Nose & Throat Hearing Center, LLC Hearing Aid Equipment 22 S 900 E, Salt Lake City, UT 84102-1307 2008-09-23
1689831851 Alison Ediger Audiologist 22 S 900 E, Salt Lake City, UT 84102-1307 2008-05-16
1316153695 Eric Lee Slattery Otolaryngology 22 S 900 E, Salt Lake City, UT 84102-1307 2007-05-15
1164557583 Bryan C Tagge Otolaryngology 22 S 900 E, Salt Lake City, UT 84102-1307 2007-02-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
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1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
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1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556986 Brittany Tran Physician Assistant 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 2020-10-25
1528674975 James Christopher Nichols Physician Assistant 1746 E 2100 S, Salt Lake City, UT 84106-4165 2020-09-21
1841826971 David Souza Physician Assistant 52 N Medical Dr, Salt Lake City, UT 84132-0001 2020-03-20
1134751902 Jacie Anna Mundahl Physician Assistant 8th Ave C St E 80, Salt Lake City, UT 84143-0001 2020-02-10
1336770544 Kelsey Rae Thompson Physician Assistant 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 2020-01-28
1245885458 Adam Douglas Whitney Physician Assistant 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 2019-08-05
1306498654 Jarred J Entringer Physician Assistant 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 2019-07-16
1588216840 Christina Thomas Physician Assistant 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 2019-07-16
1770135022 Evar Saelee Physician Assistant 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 2019-07-16
1982263471 Ashley Marten Physician Assistant 3610 E Cascade Way, Salt Lake City, UT 84109-2307 2019-06-10
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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