SCOTT JAMES SAMUELSON (NPI# 1922288588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922288588 |
| Entity Type | Individual |
| Full Name | SCOTT JAMES SAMUELSON |
| Credential | M.D. |
| Practice Address |
389 S 900 E Ste 100 Salt Lake City UT 84102-2310 |
| Mailing Address |
1121 E 3900 S Ste C-240 Salt Lake City UT 84124-1214 |
| Practice Telephone | 3852822125 |
| Practice Fax Number | 3852822126 |
| Mailing Telephone | 8012660878 |
| Mailing Fax Number | 8012662074 |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
5918534-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
5918534-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | SELECT HEALTH | 107065766102 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578677019 | Scott John Samuelson | Family Medicine | 1124 E Elizabeth St, Bldg C, Fort Collins, CO 80524-4052 | 2006-08-19 |
| 1225169675 | Scott A Samuelson | Dentist | 3624 N Hills Dr, Suite C-103, Austin, TX 78731-2415 | 2007-03-08 |
| 1972555936 | Scott R Samuelson | Podiatrist | 2108 E High Street, Foot & Ankle Health Group PC, Pottstown, PA 19464 | 2006-05-17 |
| Street Address |
389 S 900 E STE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810751 | Rachel Mitchell | Internal Medicine | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2005-11-29 |
| 1992311799 | Hannah Benoit Belles | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2020-09-17 |
| 1447876263 | Erin Ashley Romero | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2020-06-17 |
| 1972159952 | Paul Jacob Sharp | Nurse Practitioner | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2019-08-14 |
| 1053886655 | Jamie Plimpton | Physician Assistant | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2018-10-10 |
| 1467817270 | Mary K Jefferson | Dietitian, Registered | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-12-21 |
| 1316321797 | Laura Cushman | Clinical Exercise Physiologist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-07-15 |
| 1265816193 | Jessica Laroche | Dietitian, Registered | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-07-09 |
| 1033598446 | Nira Liat Salant | Physical Therapist | 389 S 900 E, Salt Lake City, UT 84102-2310 | 2015-05-19 |
| 1730571126 | Julie Lynn Roberts | Nurse Practitioner | 389 S 900 E, Salt Lake Clinic, Salt Lake City, UT 84102-2310 | 2015-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073875308 | Mei Wei | Internal Medicine | 201 Presidents Cir, Salt Lake City, UT 84112-9049 | 2012-06-12 |
| 1235556382 | Bradley Hunter | Internal Medicine | 8th Ave and C Street, Salt Lake City, UT 84143-0001 | 2014-03-26 |
| 1679867477 | Health Services Inc | Internal Medicine | 8 Th Avenue & C St, Salt Lake City, UT 84143-0001 | 2011-06-09 |
| 1831480771 | Conan Grant Kinsey | Internal Medicine | 2000 Circle of Hope, Salt Lake City, UT 84112 | 2011-04-26 |
| 1871734038 | Catherine Joy Lee | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2009-03-18 |
| 1467608554 | Ignacio Garrido-laguna | Internal Medicine | 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 | 2008-08-08 |
| 1083827455 | Kenneth Frederick Grossmann | Internal Medicine | 2000 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 | 2007-05-08 |
| 1568547255 | Saundra S Buys | Internal Medicine | 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 | 2006-10-25 |
| 1346330966 | Wallace Lovell Akerley IIi | Internal Medicine | 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 | 2006-10-13 |
| 1104916709 | Martha Jane Glenn | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on SCOTT JAMES SAMUELSON.
| 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.