BRYAN ELLERTSON (NPI# 1881989143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881989143 |
| Entity Type | Individual |
| Full Name | BRYAN ELLERTSON |
| Credential | MD |
| Practice Address |
2121 N 1700 W Layton UT 84041-8803 |
| 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 | 2011-06-15 |
| Last Update Date | 2015-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 89635601205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2121 N 1700 W |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808122 | Khaldoun M Al-rayess | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-08-16 |
| 1306443940 | Jodi Mansfield | Counselor | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-10-07 |
| 1639780745 | Darren Strong | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-08-12 |
| 1710545603 | Ann-kristin Swahn | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-06-05 |
| 1386209641 | Rachael Gardner | Dietitian, Registered | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-05-02 |
| 1346704418 | Cindy Johnston | Registered Nurse | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-01-23 |
| 1003388265 | Aaron Joseph Reich | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-27 |
| 1588136485 | Eleanore Debbie Weese | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-18 |
| 1124593942 | Eric Marvin Carl Monfrooy | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-08 |
| 1346725678 | Marcus Chavez | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - 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 |
|---|---|---|---|---|
| 1760822423 | Michael Bradley Burton | Pediatrics | 934 S Main St Ste 8, Layton, UT 84041-7136 | 2013-06-26 |
| 1629130133 | Robert Shawn Hoki | Pediatrics | 2086 N 1700 W, Suite C, Layton, UT 84041-1164 | 2006-12-14 |
| 1235211004 | Mari Suto Luce | Pediatrics | 2244 E 3500 N, Layton, UT 84040-2471 | 2006-10-20 |
| 1669424099 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 2086 N. 1700 W (robbins Drive), Suite C, Layton, UT 84041-1118 | 2006-05-16 |
| 1750389805 | Laurent Christophe Sigg | Pediatrics | 934 S Main Street, Layton, UT 84041 | 2005-07-12 |
| 1306367867 | Ihc Health Services Inc | Pediatrics | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1194106625 | Colton Lee Ragsdale | Pediatrics | 2084 N 1700 W, Suite A, Layton, UT 84041 | 2015-06-10 |
| 1053679027 | Joshua Mcbride | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2012-04-27 |
| 1861699324 | Stephanie I Merrill | Pediatrics | 2075 University Park Blvd, Layton, UT 84041-1611 | 2007-06-28 |
| 1023227725 | Kelson Physician Partners of Layton, Inc. | Pediatrics | 934 S Main St, Suite 8, Layton, UT 84041-4250 | 2007-05-21 |
| Find all providers in LAYTON | ||||
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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.