JEFFREY ANDERSON (NPI# 1902263700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902263700 |
| Entity Type | Individual |
| Full Name | JEFFREY ANDERSON |
| Practice Address |
420 S 100 E Farmington UT 84025-2276 |
| Mailing Address |
Po Box 680757 Park City UT 84068-0757 |
| Practice Telephone | 8016636015 |
| Practice Fax Number | 4356021105 |
| Mailing Telephone | 8016636015 |
| Mailing Fax Number | 4356021105 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
UT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326524596 | Jeffrey Anderson | Dentist | 2304 E Bidwell St # 100, Folsom, CA 95630-3455 | 2018-07-11 |
| 1295238830 | Jeffrey Todd Anderson | Occupational Therapist | 100 Woodbrook Dr, Charlottesville, VA 22901-1147 | 2018-03-09 |
| 1891151015 | Jeffrey Anderson | Counselor | 555 S Palm Canyon Dr Ste A202, Palm Springs, CA 92264-7210 | 2016-01-04 |
| 1801294558 | Jeffrey Paul Anderson | Registered Nurse | 1992 S Gregg Rd, Akron, OH 44319-1306 | 2014-12-11 |
| 1013336890 | Jeffrey Anderson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific Street, Box 356410, University of Washington, Department of Surgery, Seattle, WA 98195 | 2014-04-09 |
| 1700223708 | Jeffrey Davis Anderson | Dentist | 5754 Antioch Rd, Merriam, KS 66202-2015 | 2013-05-30 |
| 1659608578 | Jeffrey G. Anderson | Spec/Tech, Pathology | Psc 461, Medical Unit, Fpo, AP 96521-0050 | 2009-11-13 |
| 1326371212 | Jeffrey Alan Anderson | Physician Assistant | 410 Sheridan Ave - 529th Rsc, Attn: Regimental Aid Station, Fort Myer, VA 22211 | 2009-09-10 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| Street Address |
420 S 100 E |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-2276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225496334 | Mountain Medical Systems | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447638218 | Sunrise Dental Group PC | Durable Medical Equipment & Medical Supplies | 141 W 20th St, Farmington, NM 87401-3401 | 2015-05-13 |
| 1851632087 | Jeff Gardner | Durable Medical Equipment & Medical Supplies | 398 S 75 W, Farmington, UT 84025-2307 | 2013-03-13 |
| 1053661819 | Freedom Bath Products, LLC | Durable Medical Equipment & Medical Supplies | 15 Aspen Dr, Farmington, NH 03835-3901 | 2012-09-19 |
| 1528352556 | Incognito Wigs Network,llc | Durable Medical Equipment & Medical Supplies | 103 W Liberty St, Farmington, MO 63640-1723 | 2011-06-07 |
| 1851398564 | Health Direct, Inc. | Durable Medical Equipment & Medical Supplies | 1690 New Britain Ave, Suite 105, Farmington, CT 06032-3112 | 2005-07-07 |
| 1225496334 | Mountain Medical Systems | Durable Medical Equipment & Medical Supplies | 420 S 100 E, Farmington, UT 84025-2276 | 2016-02-03 |
| 1891127585 | Sound Sleep Solutions | Durable Medical Equipment & Medical Supplies | 6600 East Main St, Suite A, Farmington, NM 87402 | 2013-08-05 |
| 1386800548 | Vidacura Inc. | Durable Medical Equipment & Medical Supplies | 222 Main St, Ste 244, Farmington, CT 06032-3623 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699304089 | Goal Pediatric Orthotics LLC | Durable Medical Equipment & Medical Supplies | 917 W 1630 N, Orem, UT 84057-8615 | 2020-04-07 |
| 1487292439 | Portable Walk-in Whirlpool Tub L.L.C. | Durable Medical Equipment & Medical Supplies | 5918 S 350 W, Murray, UT 84107-6981 | 2019-12-19 |
| 1013474303 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 310 E 4500 S Ste 110, Murray, UT 84107-4224 | 2019-02-23 |
| 1437631595 | Spainhower Dental Care PC | Durable Medical Equipment & Medical Supplies | 2112 N Hill Field Rd Ste 2a, Layton, UT 84041-4047 | 2018-09-05 |
| 1487150728 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 640 East 700 South Building 2, St. George, UT 84770 | 2018-04-04 |
| 1790280816 | Stone Mountain Surgical, LLC | Durable Medical Equipment & Medical Supplies | 6804 S 1300 E, Cottonwood Heights, UT 84121-2882 | 2018-03-29 |
| 1790286433 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 1075 N Washington Blvd, Ogden, UT 84404-3605 | 2018-02-27 |
| 1295273548 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 2305 S Presidents Drive, Suite D, West Valley City, UT 84120-7342 | 2017-02-07 |
| 1588011688 | Eclipse Mobility, LLC | Durable Medical Equipment & Medical Supplies | 570 E 1700 S, 204, Clearfield, UT 84015-2360 | 2016-05-18 |
| 1851756050 | Compass Limb and Brace LLC | Durable Medical Equipment & Medical Supplies | 1140 36th St., Suite 165, Ogden, UT 84403-2064 | 2015-12-15 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.