MR. JOHN MICHAEL SELF (NPI# 1912012287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912012287 |
| Entity Type | Individual |
| Full Name | MR. JOHN MICHAEL SELF |
| Credential | MD |
| Practice Address |
5292 So College Dr 202 Murray UT 84123 |
| Practice Telephone | 8012663671 |
| Practice Fax Number | 8012668194 |
| Mailing Telephone | 8012663671 |
| Mailing Fax Number | 8012668194 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 3557751205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073722443 | John Michael Self Jr. | Chiropractor | 115 Gresham Rd, Knoxville, TN 37918-3209 | 2007-05-22 |
| 1891120440 | John Clay Self | Counselor | 519 E Quincy St, San Antonio, TX 78215-1605 | 2013-09-13 |
| 1053632638 | John Adam Self | Nurse Anesthetist, Certified Registered | 2451 Fillingim St, Room 335, Mobile, AL 36617-2238 | 2010-06-17 |
| Street Address |
5292 SO COLLEGE DR 202 |
| City | MURRAY |
| State | UT |
| Zip Code | 84123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| 1114979812 | John B Hijjawi | Plastic Surgery | 5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 | 2006-05-17 |
| 1174805162 | Antony Eugin Martin | Plastic Surgery | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2011-09-15 |
| 1427374636 | Neal Griffith Moores | Plastic Surgery | 5169 S Cottonwood St Ste 420, Murray, UT 84107-6769 | 2010-04-13 |
| 1326212234 | R Scott Haupt Md PC | Plastic Surgery | 5292 College Dr, #302, Murray, UT 84123-2672 | 2008-04-22 |
| 1366640153 | Robert Edward Hugh Ferguson Jr. | Plastic Surgery | 5169 Cottonwood St, Suite 410, Murray, UT 84107-6767 | 2007-07-03 |
| 1609070580 | John E Keiter | Plastic Surgery | 6040 Fashion Blvd, Suite 101, Murray, UT 84107 | 2007-06-13 |
| 1881721363 | Ihc Health Services Inc | Plastic Surgery | 5169 Cottonwood St, #410, Murray, UT 84107-6767 | 2007-02-28 |
| 1689613127 | Larry Kent Patton | Plastic Surgery | 5169 Cottonwood St, #410, Murray, UT 84107-6767 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1073151536 | Christine A. Cheng Md PC | Plastic Surgery | 415 Medical Dr Ste D102, Bountiful, UT 84010-8906 | 2019-12-16 |
| 1477016079 | Teresa Zavala | Plastic Surgery | 6169 W Ridge Mesa Cir, West Valley City, UT 84128-5638 | 2019-04-10 |
| 1477041101 | Cranio Ninja LLC | Plastic Surgery | 1055 N 300 W Ste 301, Provo, UT 84604-3373 | 2018-04-27 |
| 1841736501 | Refine The Body Inc | Plastic Surgery | 1300 N 500 E Ste 260, Logan, UT 84341-2417 | 2017-01-18 |
| 1720320179 | Melody Scheefer Van Boerum | Plastic Surgery | 5445 S Highland Dr, Salt Lake City, UT 84117-7629 | 2013-03-25 |
| 1508156928 | Richard Tyrell | Plastic Surgery | 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0002 | 2011-04-19 |
| 1194015693 | Jeremy Robert Chidester | Plastic Surgery | 11762 S State St Ste 333, Draper, UT 84020-7166 | 2011-04-18 |
| 1851617815 | Dana Nicole Johns | Plastic Surgery | University of Utah Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-04-15 |
| 1760705594 | Craig Davis | Plastic Surgery | 3163 N Grasslands Pkwy, Washington, UT 84780-2097 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
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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.