CENTER FOR COLON AND RECTAL DISEASES LLC (NPI# 1952485237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952485237 |
| Entity Type | Organization |
| Organization Name | CENTER FOR COLON AND RECTAL DISEASES LLC |
| Other Organization Name | CCRD |
| Practice Address |
348 E 4500 S Suite 200 Salt Lake City UT 84107-3906 |
| Practice Telephone | 8012653978 |
| Practice Fax Number | 8012653988 |
| Mailing Telephone | 8012653978 |
| Mailing Fax Number | 8012653988 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TERESA M LEVER (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 8012653978 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CCRD | Other Name - Individual/Organization |
| Street Address |
348 E 4500 S SUITE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587121 | Terry Lee Schoenwald | Nurse Practitioner | 348 E 4500 S, #200, Salt Lake City, UT 84107-3906 | 2005-09-01 |
| 1023571130 | Hannah Marie Zabka | Social Worker | 348 E 4500 S, Salt Lake City, UT 84107-3906 | 2019-04-08 |
| 1285140202 | Jade Lubeck | Social Worker | 348 E 4500 S, Salt Lake City, UT 84107-3906 | 2017-12-28 |
| 1508395104 | Yvette Sonia Gonzalez | Social Worker | 348 E 4500 S, Salt Lake City, UT 84107-3906 | 2017-06-07 |
| 1154860823 | Final Kick Ankle and Foot Clinic LLC | Podiatrist | 348 E 4500 S, Suite 370, Salt Lake City, UT 84107-3906 | 2017-02-14 |
| 1992167118 | Lotus Center Inc | Community/Behavioral Health | 348 E 4500 S, Suite 360, Salt Lake City, UT 84107-3906 | 2016-03-26 |
| 1205231859 | Wasatch Infusion Services, Inc. | Specialist | 348 E 4500 S, Suite 220, Salt Lake City, UT 84107-3906 | 2014-10-24 |
| 1699041640 | Jennifer L Oxborrow | Social Worker | 348 E 4500 S, Suite 360, Salt Lake City, UT 84107-3906 | 2012-03-23 |
| 1265719876 | Shawn L Hazen | Social Worker | 348 E 4500 S, Ste 360, Salt Lake City, UT 84107-3906 | 2011-11-10 |
| 1760779193 | Lindsay Kaye Manning | Social Worker | 348 E 4500 S, Ste 360, Salt Lake City, UT 84107 | 2011-07-06 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699327684 | Walter S Medlin Md PC | Surgery | 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 | 2019-07-10 |
| 1912439530 | Meghan Eileen Mali | Surgery | University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 | 2017-04-02 |
| 1124438924 | James Glen O'loughlin | Surgery | 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 | 2014-05-01 |
| 1639457542 | August Robert Bauer Jr. | Surgery | 3115 East Lion Lane, Suite 160, Salt Lake City, UT 84121 | 2011-07-26 |
| 1154611986 | Anthony Wayne Bacon | Surgery | 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 | 2011-04-13 |
| 1902109549 | Bariatric Medicine Institute | Surgery | 1046 E. 100 S., Salt Lake City, UT 84102 | 2010-12-20 |
| 1235468471 | J Barry Robb Md Professional Corporation | Surgery | 1220 E 3900 S Ste 3f, Salt Lake City, UT 84124-1326 | 2009-12-17 |
| 1609020130 | Alexander Wojciech Pastuszak | Surgery | 30 N 1900 E Dept Of, Salt Lake City, UT 84132-0002 | 2008-11-11 |
| 1326209735 | Scott Short | Surgery | 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 | 2008-06-18 |
| 1003076779 | Gregory Lawrence Livers | Surgery | 129 F St, Salt Lake City, UT 84103-2601 | 2008-06-16 |
| 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 CENTER FOR COLON AND RECTAL DISEASES LLC.
| 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.