JASON L ANDERSEN (NPI# 1932293727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932293727 |
Entity Type | Individual |
Full Name | JASON L ANDERSEN |
Credential | DO |
Practice Address |
97 S. Professional Way Payson UT 84651 |
Mailing Address |
1055 N 500 W Provo UT 84604-3305 |
Practice Telephone | 8014654896 |
Practice Fax Number | 8014653267 |
Mailing Telephone | 8014654896 |
Mailing Fax Number | 8014653267 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2011-12-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
6147456-1204 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992096903 | Jason Scott Andersen | Orthopaedic Surgery | 150 Gentilly Blvd, Cartersville, GA 30120-8522 | 2011-04-25 |
1740516731 | Jason A Andersen | Psychologist | 120 E Trinity Pl, Decatur, GA 30030-3302 | 2009-10-26 |
1841229648 | Jason Andersen | Counselor | 1015 S Broadway Ste 18, Minot, ND 58701-4667 | 2006-07-02 |
Street Address |
97 S. PROFESSIONAL WAY |
City | PAYSON |
State | UT |
Zip Code | 84651 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689692071 | Robert Brent Clark | Family Medicine | 97 S. Professional Way, Payson, UT 84651 | 2006-07-17 |
1861569261 | Max Jay Crouch | Obstetrics & Gynecology | 97 S. Professional Way, Payson, UT 84651 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467996116 | At Peace Peace Hospice Care LLC. | Hospice Care, Community Based | 863 S 500 W, Payson, UT 84651 | 2016-12-15 |
1750732723 | Country Lane Payson Operating LLC | Assisted Living Facility | 153 S. 900 E, Payson, UT 84651 | 2016-06-30 |
1811390768 | Payson Rx Express LLC | Pharmacy | 869 S Turf Farm Rd, Payson, UT 84651 | 2014-10-07 |
1205261807 | Payson Sports & Spine LLC | Chiropractor | 871 South 500 West, Payson, UT 84651 | 2013-09-13 |
1205177722 | Avalon Care Center - Va Payson, LLC | Skilled Nursing Facility | 1551 North Main Street, Payson, UT 84651 | 2013-03-07 |
1609015353 | Donald Rex Lankford | Social Worker | 806 South 1040 West, Payson, UT 84651 | 2009-02-19 |
1477709772 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 15 S 1000 E Ste 125, Payson, UT 84651 | 2008-08-18 |
1386836112 | Canyon View Medical Group LLC | Pediatrics | 15 South 1000 East, Suite 100, Payson, UT 84651 | 2007-08-15 |
1518187350 | Richard Barton | Pharmacist | 69 East Hudson Ln, Elk Ridge, UT 84651 | 2007-04-26 |
1356400337 | Apple Valley Vision LLC | Optometrist | 539 South 100 West, Payson, UT 84651 | 2006-12-06 |
Find all providers in zip 84651 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871101014 | Tms Elevated | Psychiatry & Neurology | 1790 Sun Peak Dr Ste B105, Park City, UT 84098-6625 | 2020-07-14 |
1134643596 | Ladders | Psychiatry & Neurology | 1399 S 700 E Ste 10, Salt Lake City, UT 84105-2167 | 2017-07-27 |
1477999688 | Kiera Schlansky | Psychiatry & Neurology | 1010 N 500 E Ste 110a, North Salt Lake, UT 84054-1949 | 2013-05-14 |
1710280565 | Dr Ryan Raymond Williams Md PC | Psychiatry & Neurology | 190 South 100 West, Beaver, UT 84713-1512 | 2010-12-17 |
1376725077 | Paul D Francom | Psychiatry & Neurology | 5600 N Heritage School Dr, Heritage School Inc, Prove, UT 84604 | 2007-12-04 |
1487779955 | Rachel Anne Weir | Psychiatry & Neurology | 650 Komas Dr Ste 208, Salt Lake City, UT 84108-1241 | 2007-03-20 |
1437297272 | Traci L. David | Psychiatry & Neurology | 650 S Komas Dr Ste 200, Salt Lake City, UT 84108-1241 | 2007-02-02 |
1073674768 | Ralph William Knapp | Psychiatry & Neurology | 1130 W Center St, North Salt Lake, UT 84054-2917 | 2006-12-13 |
1477565539 | Brian Lee Grimwood | Psychiatry & Neurology | 320 E 600 S, St George, UT 84770-3949 | 2006-08-13 |
1942268446 | Melissa P Lopez-larson | Psychiatry & Neurology | 383 S Colorow Dr, University of Utah, Salt Lake City, UT 84108-1201 | 2006-05-03 |
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.