DR. KEITH L. BLAUER (NPI# 1962475350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962475350 |
| Entity Type | Individual |
| Full Name | DR. KEITH L. BLAUER |
| Credential | M.D. |
| Practice Address |
10150 Petunia Way Sandy UT 84092-4380 |
| Practice Telephone | 8018788888 |
| Practice Fax Number | 8018788890 |
| Mailing Telephone | 8018788888 |
| Mailing Fax Number | 8018788890 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 567553-1205 & 89 | UT | Other Service Providers |
| Street Address |
10150 PETUNIA WAY |
| City | SANDY |
| State | UT |
| Zip Code | 84092-4380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174846349 | Angie Downward | Nurse Practitioner | 10150 Petunia Way, Sandy, UT 84092-4318 | 2010-03-02 |
| 1801040357 | Reproductive Care Center | Specialist | 10150 Petunia Way, Sandy, UT 84092-4380 | 2008-11-11 |
| 1093788473 | James S. Heiner | Specialist | 10150 Petunia Way, Sandy, UT 84092-4380 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1629349915 | David Adams | Counselor | 10306 South 2375 East, Alta, UT 84092 | 2012-01-19 |
| 1043511587 | Edward Chipman Spencer | Orthopaedic Surgery | 3260 East 9425 South, Sandy, UT 84092 | 2010-11-16 |
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1467619809 | Deborah J. Dean | Clinical Nurse Specialist | 9768 Eastdell Dr, Sandy, UT 84092 | 2008-05-22 |
| 1780781682 | Michael Ryan Adams | Family Medicine | 7998 South 1300 East, Sandy, UT 84092 | 2006-09-20 |
| 1194853390 | William S Hoge | Pharmacist | 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 | 2007-03-01 |
| Find all providers in zip 84092 | ||||
| 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 |
|---|---|---|---|---|
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1164852224 | John Librett | Specialist | 1151 E Castle Rock Rd, Sandy, UT 84094-5688 | 2013-11-26 |
| 1568803773 | Russell L. Sorensen LLC | Specialist | 9844 S 1300 E Ste 250, Sandy, UT 84094-4691 | 2013-07-16 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1053628214 | Melissa Knowles | Specialist | 37640 Green Mountain St, Sandy, OR 97055-6366 | 2010-09-09 |
| 1457670713 | Darrin F Hansen M.d. P.C. | Specialist | 9720 S 1300 E Ste W110, Sandy, UT 84094-3765 | 2010-05-26 |
| 1649424888 | Reproductive Care Associates | Specialist | 10150 Petrunia Way, Sandy, UT 84092-4380 | 2008-11-14 |
| 1558521385 | Gary F Larsen | Specialist | 7610 Caballero Dr, Sandy, UT 84093-6238 | 2008-06-16 |
| 1922091230 | Charles Darrell Katz | Specialist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2005-08-23 |
| 1558611418 | Utah Center for Medical Weight Loss, LLC | Specialist | 9829 S 1300 E, Ste 302, Sandy, UT 84094-4000 | 2012-09-18 |
| Find all providers in SANDY | ||||
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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.