JUSTIN D GULL (NPI# 1962600338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962600338 |
Entity Type | Individual |
Full Name | JUSTIN D GULL |
Credential | M.D. |
Practice Address |
5770 S 250 E Ste 285 Murray UT 84107-8194 |
Mailing Address |
4000 S 700 E Ste 10 Salt Lake City UT 84107-2580 |
Practice Telephone | 8012682822 |
Practice Fax Number | 8012682832 |
Mailing Telephone | 8012684141 |
Mailing Fax Number | 8012618609 |
Enumeration Date | 2007-07-06 |
Last Update Date | 2010-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235500000X | Specialist/Technologist | 351170-1205 | UT | Speech, Language and Hearing Service Providers |
Street Address |
5770 S 250 E STE 285 |
City | MURRAY |
State | UT |
Zip Code | 84107-8194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568773935 | Amanda Dunn | Physician Assistant | 5770 S 250 E Ste 285, Murray, UT 84107-8194 | 2010-06-30 |
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 | 235500000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881833002 | Lori Ann Ruth | Specialist/Technologist | 890 South 1680 East, Pleasant Grove, UT 84062 | 2009-02-11 |
1467691840 | Kimberly Janice Saul | Specialist/Technologist | 3776 S 2700 E, Salt Lake City, UT 84109-3570 | 2009-02-09 |
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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.