DR. ADAM WAHLSTROM (NPI# 1881010023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881010023 |
| Entity Type | Individual |
| Full Name | DR. ADAM WAHLSTROM |
| Credential | D.O |
| Practice Address |
1240 E 100 S St George UT 84790-3001 |
| Practice Telephone | 8014488619 |
| Mailing Telephone | 8014488619 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2017-11-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
10389523-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DEA | FW5423823 | 01 |
| Street Address |
1240 E 100 S |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316956667 | Turningleaf Inc. | Counselor | 1240 E 100 S, Suite 121, St George, UT 84790-3001 | 2006-08-05 |
| 1740798370 | Jennifer Lee Hill | Counselor | 1240 E 100 S, St George, UT 84790-3001 | 2018-01-17 |
| 1427432467 | Home Caregivers Partnership LLC | Hospice Care, Community Based | 1240 E 100 S, Suite 119, St George, UT 84790-3001 | 2015-07-18 |
| 1558745984 | Home Caregivers Partnership LLC | Home Health | 1240 E 100 S, Suite 119, St George, UT 84790-3001 | 2015-07-15 |
| 1407160732 | Alesa Allred | Behavioral Analyst | 1240 E 100 S, Suite 202, St George, UT 84790-3001 | 2010-07-28 |
| 1609046853 | Callahan Clinic, PC | General Practice | 1240 E 100 S, Suite 15-a, St George, UT 84790-3001 | 2008-03-04 |
| 1952456907 | Red Rock Neuropsychiatry PC | Psychiatry & Neurology | 1240 E 100 S, Suite 15a, St George, UT 84790-3001 | 2007-01-23 |
| 1265540355 | Douglas Dee Callahan | Family Medicine | 1240 E 100 S, Suite 15a, St George, UT 84790-3001 | 2006-08-28 |
| 1043328123 | Thomas Dee Callahan | Family Medicine | 1240 E 100 S, Suite 15a, St George, UT 84790-3001 | 2006-08-28 |
| 1316055718 | Michael Rory Brown | Dentist | 1240 E 100 S, Suite 120, St George, UT 84790 | 2006-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369341 | Kelly Dean Beaumont | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2006-09-21 |
| 1578763702 | Jerry D Twiggs Md PC | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2007-07-25 |
| 1295855914 | Night Light Pediatrics LLC | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2007-03-29 |
| 1922136126 | Ihc Health Services Inc | Pediatrics | 1380 E Medical Center Dr, #3100, St George, UT 84790-2123 | 2007-03-01 |
| 1427157148 | James Robert Martin | Pediatrics | 1490 E Foremaster Dr, Ste 150, St George, UT 84790-4488 | 2006-09-21 |
| 1902905714 | Karl T Mcmullin | Pediatrics | 1240 E 100 S Ste 14, St George, UT 84790-3005 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831695923 | Brigham Pediatrics | Pediatrics | 980 Medical Dr Ste 2, Brigham City, UT 84302-3094 | 2018-04-05 |
| 1740643915 | Steven Homel | Pediatrics | 7556 S Stone Rd, Cottonwood Heights, UT 84121-5238 | 2016-04-04 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1871680579 | Gary L. Behrmann | Pediatrics | 1172 E 100 N Ste 2, Payson, UT 84651-1668 | 2006-10-06 |
| 1326147034 | Bryan Bernell Hofheins | Pediatrics | 1055 N 500 W Ste 102, Provo, UT 84604-3305 | 2006-09-21 |
| 1972583680 | Jerry D Twiggs | Pediatrics | 1240 E 100 S #14, St. George, UT 84790 | 2006-01-19 |
| 1750742607 | University of Utah Pediatric Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-03-18 |
| 1952585150 | Joy R Patten | Pediatrics | 1750 N Wymount Terrace Dr, Provo, UT 84601-4800 | 2007-12-24 |
| 1194863589 | Families First Pediatrics LLC | Pediatrics | 1268 W South Jordan Pkwy, Ste.#201, South Jordan, UT 84095-4652 | 2007-02-01 |
| 1396839403 | Michael Ray Johnson | Pediatrics | 1268 W South Jordan Pkwy, Ste 201, South Jordan, UT 84095-4652 | 2006-10-03 |
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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.