VERDON REED WALKER III (NPI# 1871960823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871960823 |
Entity Type | Individual |
Full Name | VERDON REED WALKER III |
Credential | PA |
Practice Address |
589 S State St Provo UT 84606-5056 |
Practice Telephone | 8014292000 |
Mailing Telephone | 8013183368 |
Enumeration Date | 2015-08-25 |
Last Update Date | 2015-09-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363AM0700X |
Physician Assistant Specialization: Medical |
9515470-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9515470 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
589 S STATE ST |
City | PROVO |
State | UT |
Zip Code | 84606-5056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427075134 | Mountainlands Community Health Center, Inc | Dentist | 589 S State St, Provo, UT 84606-5056 | 2006-07-17 |
1144829946 | Mountainlands Community Health Center, Inc | Dentist | 589 S State St, Provo, UT 84606-5056 | 2020-10-22 |
1295347169 | Maria Dj Villagrana | Nurse Practitioner | 589 S State St, Provo, UT 84606-5056 | 2020-08-20 |
1932678307 | Sarah Gwendolyn Harmon Davis | Nurse Practitioner | 589 S State St, Provo, UT 84606-5056 | 2018-11-15 |
1003334525 | Kelly Marie Daly-wolfe | Physician Assistant | 589 S State St, Provo, UT 84606 | 2017-09-05 |
1497290555 | Elizabeth Anne Balle | Social Worker | 589 S State St, Provo, UT 84606-5056 | 2016-12-28 |
1639539521 | Leslie Divall | Midwife | 589 S State St, Provo, UT 84606-5056 | 2016-03-04 |
1801223425 | Tyler David Sommer | Physician Assistant | 589 S State St, Provo, UT 84606-5056 | 2013-09-27 |
1902151954 | Stacy Ann Garnica | Nurse Practitioner | 589 S State St, Provo, UT 84606 | 2012-07-16 |
1871812370 | Mountainlands Family Pharmacy | Pharmacy | 589 S State St, Provo, UT 84606-5056 | 2010-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053935551 | Olivia Stiles | Specialist/Technologist | 200 E 515 N, Provo, UT 84606 | 2020-06-01 |
1417439076 | Quin Spencer Volpe | Counselor | 1035 E 560 N, Provo, UT 84606 | 2018-08-30 |
1700365434 | Hyunwook Lee | Specialist/Technologist | 1369 S 1500 E, Provo, UT 84606 | 2018-08-13 |
1598268930 | Victor Bert Arthur Moxley | Specialist | 290 N 300 E, Provo, UT 84606 | 2018-03-12 |
1184132623 | Academy Dental LLC | Advanced Practice Dental Therapist | 488 N 100 E St., Provo, UT 84606 | 2018-01-18 |
1720433485 | Sean Lamb | Counselor | 231 S. 100 E., Provo, UT 84606 | 2016-05-02 |
1508236795 | Forever Young Dentistry Pllc | Clinic/Center | 2335 S. State Street, Ste #200, Provo, UT 84606 | 2015-09-30 |
1558766014 | Nancy Huber | Physician Assistant | Mountainland Community Health Center, 529 South State Street, Provo, UT 84606 | 2014-10-27 |
1356778377 | Myrna Suzanne Gillis | Marriage & Family Therapist | 1726 Buckley Drive, Provo, UT 84606 | 2013-10-04 |
1558651067 | Melissa Anne Mccreary | Counselor | 151 S.state St. University Ave., Ste 1400, Provo, UT 84606 | 2011-04-18 |
Find all providers in zip 84606 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316240575 | James E Carly | Physician Assistant | 280 W Riverpark Dr Ste 120, Provo, UT 84604 | 2010-12-09 |
1851628218 | Robert Andrew Serpico | Physician Assistant | 1375 N University Ave, Provo, UT 84604-2658 | 2009-11-05 |
1588897524 | Alan Taylor Frampton | Physician Assistant | 1750 N Wymount Terrace Drive, Provo, UT 84602-4800 | 2009-08-25 |
1295925642 | Kindra K Jacoby | Physician Assistant | 280 West River Park Dr., Ste. #350, Provo, UT 84604 | 2007-07-31 |
1528271228 | Arnold Brett Davis | Physician Assistant | 1355 North University Ave, Suite 210, Provo, UT 84604 | 2007-05-08 |
1417977505 | Susan R Dyle | Physician Assistant | 619 N 500 W, Provo, UT 84601-1547 | 2006-07-20 |
1629035795 | Gary E Nelson | Physician Assistant | 150 E Center St, Suite 1100, Provo, UT 84606-3106 | 2006-05-01 |
1689142440 | Brian Todd Spencer | Physician Assistant | 1034 N 500 W, Provo, UT 84604-3380 | 2018-11-08 |
1003334525 | Kelly Marie Daly-wolfe | Physician Assistant | 589 S State St, Provo, UT 84606 | 2017-09-05 |
1982157301 | Rebekah Michelle Hosman | Physician Assistant | 3650 N University Ave, #200, Provo, UT 84604-6656 | 2016-08-02 |
Find all providers in PROVO |
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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.