DR. TAWNYA M. CONSTANTINO (NPI# 1891802591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891802591 |
| Entity Type | Individual |
| Full Name | DR. TAWNYA M. CONSTANTINO |
| Credential | M.D. |
| Practice Address |
5171 Cottonwood St Suite 810 Murray UT 84107-5704 |
| Practice Telephone | 8015079800 |
| Practice Fax Number | 8015079801 |
| Mailing Telephone | 8015079800 |
| Mailing Fax Number | 8015079801 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
312149-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5171 COTTONWOOD ST SUITE 810 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942260617 | Mark V Reichman | Neurological Surgery | 5171 Cottonwood St, Suite 950, Murray, UT 84107-5704 | 2006-03-25 |
| 1780003780 | Joseph Stapley Redman | Internal Medicine | 5171 Cottonwood St, South Office Building, Suite 201, Murray, UT 84107-5704 | 2014-04-08 |
| 1669732830 | University of Utah Neurosurgery Imc | Neurological Surgery | 5171 Cottonwood St, Ste 945, Murray, UT 84107-5704 | 2012-05-22 |
| 1831476308 | Ihc Health Services Inc | Psychiatry & Neurology | 5171 Cottonwood St, Ste 810, Murray, UT 84107-5705 | 2011-11-10 |
| 1629359955 | Jody L Anderson | Nurse Practitioner | 5171 Cottonwood St, Suite 810, Murray, UT 84107-5704 | 2011-08-31 |
| 1982984555 | Lori E Passey | Nurse Practitioner | 5171 Cottonwood St, Suite 950, Murray, UT 84107-5704 | 2011-08-26 |
| 1003042375 | Eric Schenfeld | Emergency Medicine | 5171 Cottonwood St, Suite 740, Murray, UT 84107-5704 | 2009-06-01 |
| 1386886455 | Daniel Glen Keller | Audiologist | 5171 Cottonwood St, South Office Building 8th Floor, Murray, UT 84107-5704 | 2009-04-03 |
| 1700066768 | Peter Hanks Maughan | Neurological Surgery | 5171 Cottonwood St, Suite 950, Murray, UT 84107-5704 | 2007-11-07 |
| 1447459151 | Mengjing Huan | Psychiatry & Neurology | 5171 Cottonwood St, Ste 810, Murray, UT 84107-5704 | 2007-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285867275 | Hansann & Associates | Psychiatry & Neurology | 1470 S 500 E, Kaysville, UT 84037-3033 | 2009-08-25 |
| 1871679787 | Kevin Scott Mochizuki | Psychiatry & Neurology | 428 S Douglas St Apt 1, Salt Lake City, UT 84102 | 2006-10-31 |
| 1619965944 | Navin K Varma | Psychiatry & Neurology | 1452 E Ridgeline Dr #151, Ogden, UT 84405-4975 | 2005-10-11 |
| 1093710188 | Stephen Peters | Psychiatry & Neurology | 1157 N 300 W, Provo, UT 84604-6124 | 2005-06-16 |
| 1285279091 | Blue Creek Medical | Psychiatry & Neurology | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2019-11-15 |
| 1508098906 | Timber Ridge Holdings LLC | Psychiatry & Neurology | 448 E 5350 S Ste B, Washington Terrace, UT 84405-5415 | 2009-08-18 |
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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.