DR. LYNN SCOTT CHIDESTER (NPI# 1932156247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932156247 |
| Entity Type | Individual |
| Full Name | DR. LYNN SCOTT CHIDESTER |
| Credential | MD |
| Practice Address |
5169 Cottonwood St Suite 420 Murray UT 84107-6767 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015073400 |
| Practice Fax Number | 8015073425 |
| Mailing Telephone | 8012334400 |
| Mailing Fax Number | 8012334410 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2009-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2644411205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 942854059240 | 05 |
| Street Address |
5169 COTTONWOOD ST SUITE 420 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-6767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554141 | Tawnya Bowles | Surgery | 5169 Cottonwood St, Suite 440, Murray, UT 84107-6767 | 2005-11-10 |
| 1528323508 | Lindsey Marie Andersen | Nurse Practitioner | 5169 Cottonwood St, Suite 510, Murray, UT 84107-6767 | 2012-07-06 |
| 1407121809 | Sarah Christensen | Physician Assistant | 5169 Cottonwood St, Suite 320, Eccles Outpatient Center, Murray, UT 84107-6767 | 2012-03-19 |
| 1669773461 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 510, Murray, UT 84107-6767 | 2010-11-10 |
| 1154639276 | Kristi Reinschmidt | Physician Assistant | 5169 Cottonwood St, Suite 320, Murray, UT 84107-6767 | 2010-09-23 |
| 1982833398 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, Ste 520, Murray, UT 84107-5701 | 2009-07-07 |
| 1629230958 | Mountain West Cardiovascular Associates | Specialist | 5169 Cottonwood St, Suite B620, Murray, UT 84158 | 2008-06-27 |
| 1740478445 | Ihc Health Services Inc | Internal Medicine | 5169 Cottonwood St, #640, Murray, UT 84107-6767 | 2007-10-09 |
| 1851587133 | Travis Mark Remington | Physician Assistant | 5169 Cottonwood St, Suite# 410, Murray, UT 84107-6767 | 2007-09-19 |
| 1366640153 | Robert Edward Hugh Ferguson Jr. | Plastic Surgery | 5169 Cottonwood St, Suite 410, Murray, UT 84107-6767 | 2007-07-03 |
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| 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 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306977798 | Ihc Health Services Inc | Urology | 5171 S Cottonwood St, Ste 720, Murray, UT 84107-5705 | 2007-03-08 |
| 1396870333 | Ihc Health Services | Urology | 5770 S 250 E, #170, Murray, UT 84107-8100 | 2007-02-22 |
| 1245282342 | Christopher G Stanczyk | Urology | 300 S 8th St, Suite 107e, Murray, KY 42071-2400 | 2006-05-17 |
| 1194792796 | Herschel S Jackson Jr. | Urology | 300 S 8th St, Suite 107#, Murray, KY 42071-2400 | 2006-03-02 |
| 1477531705 | Jay T Bishoff | Urology | 5169 Cottonwood St, Suite 420, Murray, UT 84107-6767 | 2006-01-06 |
| 1861480741 | Steven Lee Trevathan | Urology | 300 S 8th St, Suite 107e, Murray, KY 42071-2400 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945061 | Utah Urology Works LLC | Urology | 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 | 2020-06-05 |
| 1619402286 | Andrew Mazzone | Urology | University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 | 2017-04-20 |
| 1588195135 | Laurel S. Mast | Urology | 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 | 2017-03-24 |
| 1164845517 | Bruce Wayne Carlin | Urology | 375 Old Farm Ln, Coalville, UT 84017-6706 | 2014-01-21 |
| 1104182476 | Jeffrey David Sparenborg | Urology | 1157 N 300 W Ste 301, Provo, UT 84604-6124 | 2012-04-11 |
| 1588933527 | Hal H Bourne | Urology | 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 | 2011-12-20 |
| 1740598887 | Ihc Health Services Inc | Urology | 4403 Harrison Blvd Ste 4440, Ogden, UT 84403-3291 | 2010-09-23 |
| 1083922926 | Perry T. Walters, M.d. PC | Urology | 425 Medical Drive #112, Bountiful, UT 84010 | 2010-09-14 |
| 1447589288 | Joseph Robert Armstrong | Urology | 3291 Piute Dr, Provo, UT 84604-4849 | 2009-12-07 |
| 1851627756 | Ned Legrande Mangelson | Urology | 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 | 2009-10-27 |
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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.