GARY ROBERT EDWARDS (NPI# 1922425800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922425800 |
| Entity Type | Individual |
| Full Name | GARY ROBERT EDWARDS |
| Practice Address |
3000 N Triumph Blvd Ste 330 Lehi UT 84043-4999 |
| Practice Telephone | 3853453560 |
| Mailing Telephone | 3853453560 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 5583016-1205 | TX | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
5583016-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1922425800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1740 W Taylor St, Chicago, IL 606127232 | 8666002273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366598872 | Gary A Edwards | Ophthalmology | 450 Ho'okahi Street, Aloha Eye Clinic, Wailuku, HI 96793 | 2007-01-26 |
| 1053322982 | Gary Forrest Edwards | Chiropractor | 5209 Princeton Way, Suite 601, Hoover, AL 35226-4182 | 2006-08-09 |
| 1588699904 | Gary S Edwards | Family Medicine | 9616 Rogers Ave, Fort Smith, AR 72903-5769 | 2006-07-12 |
| 1023481934 | Gary Joseph Edwards | Counselor | 6956 State Highway 56, Potsdam, NY 13676-3628 | 2015-11-02 |
| 1598997322 | Gary D Edwards | Physician Assistant | 2180 Main St, Wailuku, HI 96793-1625 | 2009-08-12 |
| 1639227606 | Gary S. Edwards | Obstetrics & Gynecology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| Street Address |
3000 N TRIUMPH BLVD STE 330 |
| City | LEHI |
| State | UT |
| Zip Code | 84043-4999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912341009 | Andrea Brock | Neurological Surgery | 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | 2013-04-19 |
| 1801344189 | Wasatch Cardiovascular Services | Internal Medicine | 3000 N Triumph Blvd Ste 330, Lehi, UT 84043-4999 | 2016-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
| 1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
| 1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
| 1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
| 1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
| 1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
| Find all providers in zip 84043 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811265044 | Lonnie Paulos Md PC | Orthopaedic Surgery | 324 East 10th Avenue, Ste 172, Salt Lake City, UT 84103-3184 | 2011-12-02 |
| 1477865491 | Ihc Health Services Inc | Orthopaedic Surgery | 1159 E 200 N Ste 100, American Fork, UT 84003-2053 | 2010-07-07 |
| 1558546739 | Mark A.rosen Md, LLC | Orthopaedic Surgery | 5911 Fashion Blvd., Suite 100, Murray, UT 84107 | 2008-01-07 |
| 1255422192 | Bruce E Thomas | Orthopaedic Surgery | 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403-5180 | 2006-09-27 |
| 1922098334 | Eric A Heiden | Orthopaedic Surgery | 2200 Park Ave Bldg D, Park City, UT 84060-7246 | 2005-10-26 |
| 1487646998 | Robert B Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1992700330 | Leon E Paulos | Orthopaedic Surgery | 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | 2005-06-14 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1588162283 | Alpine Management and Consulting | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2018-01-28 |
| 1083128730 | Kia Wilson | Orthopaedic Surgery | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2017-11-16 |
| 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.