UTAH GASTROENTEROLOGY P C (NPI# 1972510717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972510717 |
Entity Type | Organization |
Organization Name | UTAH GASTROENTEROLOGY P C |
Other Organization Name | FKA MOUNTAIN WEST GASTROENTEROLOGY, P.C. |
Practice Address |
6360 South 3000 East Suite 310 Salt Lake City UT 84121 |
Mailing Address |
6360 South 3000 East Suite 220 Salt Lake City UT 84121 |
Practice Telephone | 8019443144 |
Practice Fax Number | 8019443186 |
Mailing Telephone | 8019443199 |
Mailing Fax Number | 8019443180 |
Enumeration Date | 2006-08-02 |
Last Update Date | 2017-10-30 |
Authorized Official Name | CHRISTINE MORRIS (CORPORATE ADMINISTRATOR) |
Authorized Official Telephone | 8019443191 |
Is Organization Subpart | Y |
Parent Organization Name | UTAH GASTROENTEROLOGY P C |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
UT | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
FKA Mountain West Gastroenterology, P.C. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447662523 | Utah Gastroenterology P C | Internal Medicine | 74 E Kimball Lane, Suite 230, Draper, UT 84020-7735 | 2014-05-23 |
1871689562 | Utah Gastroenterology P C | Internal Medicine | 1187 E 3900 S, Salt Lake City, UT 84124-1201 | 2006-10-04 |
1235676149 | Utah Gastroenterology P C | Internal Medicine | 3000 N Triumph Blvd, Suite 340, Lehi, UT 84043-4999 | 2017-01-30 |
1821465469 | Utah Gastroenterology P C | Internal Medicine | 13953 S Bangerter Pkwy, Draper, UT 84020 | 2015-08-31 |
1235464413 | Utah Gastroenterology P C | Internal Medicine | 12391 S 4000 W, Riverton, UT 84096-7012 | 2009-10-06 |
1255405957 | Utah Gastroenterology P C | Internal Medicine | 368 E Riverside Dr, Suite A, St George, UT 84790-6896 | 2006-11-17 |
1477627172 | Utah Gastroenterology P C | Internal Medicine | 5770 South 250 East, Suite 445, Murray, UT 84107 | 2006-11-17 |
1457393761 | Utah Gastroenterology P C | Internal Medicine | 620 East Medical Drive, Suite 205, Bountiful, UT 84010-5084 | 2006-06-12 |
Street Address |
6360 SOUTH 3000 EAST SUITE 310 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
Find all providers in zip 84121 |
Taxonomy Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568592590 | Ihc Health Services Inc | Internal Medicine | 374 10th Ave, Suite 100, Salt Lake City, UT 84103-2823 | 2007-03-07 |
1306925433 | Robert F Miller | Internal Medicine | 1002 East South Temple, Ste 412, Salt Lake City, UT 84102 | 2006-11-02 |
1033209622 | Randall W. Burt | Internal Medicine | Huntsman Cancer Institute, 2000 Circle of Hope, Salt Lake City, UT 84112 | 2006-10-13 |
1871689562 | Utah Gastroenterology P C | Internal Medicine | 1187 E 3900 S, Salt Lake City, UT 84124-1201 | 2006-10-04 |
1184655128 | Mae Foung Go | Internal Medicine | 500 Foothill Blvd # 111g, Va Slc Health Care System, Salt Lake City, UT 84148-0001 | 2006-07-06 |
1982145181 | Benjamin Hewitt | Internal Medicine | 30 N 1900 E Rm 4r118, Salt Lake City, UT 84132-0002 | 2017-03-20 |
1154784783 | Andrew Khoi Nguyen | Internal Medicine | 30 N 1900 E Rm 4r118, Salt Lake City, UT 84132-0002 | 2016-03-31 |
1245634047 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
1972921658 | Malan Tara Shiralkar | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-7232 | 2014-03-31 |
1902223894 | Sheeva Parbhu | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2014-03-28 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84121 |
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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.