JOSEPHINE D. ABRAHAM (NPI# 1942260229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942260229 |
| Entity Type | Individual |
| Full Name | JOSEPHINE D. ABRAHAM |
| Credential | M.D. |
| Practice Address |
650 E 4500 S Salt Lake City UT 84107-2900 |
| Practice Telephone | 8012882634 |
| Practice Fax Number | 8012881186 |
| Mailing Telephone | 8012882634 |
| Mailing Fax Number | 8012881186 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 5211298-1205 | UT | Other Service Providers |
| Street Address |
650 E 4500 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015260 | James B Stinson | Specialist | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2005-07-01 |
| 1760918759 | Procare Hospice of Utah, LLC | Hospice Care, Community Based | 650 E 4500 S, Suite 350, Salt Lake City, UT 84107-2900 | 2017-05-11 |
| 1427502624 | Andrea Robison | Counselor | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-08-05 |
| 1073962601 | Charles Johnson | Counselor | 650 E 4500 S, #300, Salt Lake City, UT 84107-2900 | 2016-06-04 |
| 1073961579 | Camile Nielson | Social Worker | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2016-05-25 |
| 1164715124 | Minerva Abeleda Dantis-tan | Nurse Practitioner | 650 E 4500 S, Ste 210, Salt Lake City, UT 84107-4520 | 2011-05-24 |
| 1912168345 | Landon Dickson | Internal Medicine | 650 E 4500 S, Ste. 210, Salt Lake City, UT 84107-2900 | 2008-06-18 |
| 1649452772 | Ruth Merry Indahyung | Internal Medicine | 650 E 4500 S, Suite 210, Salt Lake City, UT 84107-2900 | 2007-11-30 |
| 1992991921 | Sanjiv Anand | Internal Medicine | 650 E 4500 S, Suite 201, Salt Lake City, UT 84107-2900 | 2007-09-24 |
| 1477609089 | Rebecca Herold Moore | Internal Medicine | 650 E 4500 S, Salt Lake City, UT 84107-2900 | 2007-01-26 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437533932 | Krystal Ahlstrom | Specialist | 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 | 2015-07-14 |
| 1528460607 | John Miller Holman Jr. | Specialist | 4765 S Ichabod St, Salt Lake City, UT 84117-6461 | 2014-09-21 |
| 1750795423 | Judy Denise Wall | Specialist | 4425 S Camille St, Salt Lake City, UT 84124-3624 | 2014-06-20 |
| 1821434424 | Robert Bradley Wray | Specialist | 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 | 2013-05-22 |
| 1295170850 | Rodolphe Ruffy | Specialist | 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 | 2013-05-08 |
| 1063857159 | Afshin Ahmadiyan | Specialist | 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 | 2013-05-03 |
| 1508112426 | Floyd Jackson Millet | Specialist | 2015 Scenic Dr, Salt Lake City, UT 84108-3317 | 2012-07-29 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1437422995 | Brent Farr Robertson | Specialist | 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 | 2012-02-14 |
| 1861787756 | William Halls | Specialist | 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 | 2011-06-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
Please comment or provide details below to improve the information on JOSEPHINE D. ABRAHAM.
| 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.