BRIGHAM YOUNG UNIVERSITY (NPI# 1942276092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942276092 |
| Entity Type | Organization |
| Organization Name | BRIGHAM YOUNG UNIVERSITY |
| Other Organization Name | BYU STUDENT HEALTH CENTER |
| Practice Address |
1750 N Wymount Terrace Dr 2300 Provo UT 84602-4800 |
| Mailing Address |
1750 N Wymount Terrace Dr 2300 Shc Provo UT 84602-4800 |
| Practice Telephone | 8014222771 |
| Practice Fax Number | 8014220764 |
| Mailing Telephone | 8014222771 |
| Mailing Fax Number | 8014220764 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. D KEITH WILLMORE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8014227443 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| BYU Student Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790175628 | Brigham Young University | Family Medicine | 173 Richards Building, Dance Department, Provo, UT 84602-2000 | 2015-01-30 |
| 1194930495 | Brigham Young University | Physiological Laboratory | Y Be Fit, 127 Richards Building, Brigham Young University, Provo, UT 84602 | 2007-05-11 |
| 1083788111 | Brigham Young University | Local Education Agency (LEA) | 522 W 40 N, Orem, UT 84057-5310 | 2006-11-20 |
| 1215027099 | Brigham Young University | Student in an Organized Health Care Education/Training Program | 1130 Sfh Sports Med, Provo, UT 84602 | 2006-10-13 |
| 1467584300 | Brigham Young University | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84604-8600 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BRIGHAM YOUNG UNIVERSITY | A41 Asb, Provo, UT 84602-1014 |
| Street Address |
1750 N WYMOUNT TERRACE DR 2300 |
| City | PROVO |
| State | UT |
| Zip Code | 84602-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787891 | Steven W Bloink | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2005-08-17 |
| 1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
| 1548627763 | Kelly Smith | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2016-01-19 |
| 1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
| 1699024927 | Steven Morris Blanthorn | Physical Therapist | 1750 N Wymount Terrace Dr, Byu Student Health Center, Provo, UT 84604-8600 | 2012-08-31 |
| 1174707046 | William R Graden | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4405 | 2007-12-27 |
| 1477737419 | Lorraine R Davis | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-27 |
| 1407030695 | David P Brown | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1144404385 | Mary Ann Evans | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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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.