MR. MARK ERIC BEESE (NPI# 1992163166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992163166 |
| Entity Type | Individual |
| Full Name | MR. MARK ERIC BEESE |
| Credential | ATC, LAT |
| Practice Address |
590 S Wakara Way Salt Lake City UT 84108-1200 |
| Mailing Address |
580 Wakara Way Salt Lake City UT 84108 |
| Practice Telephone | 8015871473 |
| Practice Fax Number | 8015877115 |
| Mailing Telephone | 8015871473 |
| Mailing Fax Number | 8015877115 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 7726414-4810 | UT | Other Service Providers |
| Street Address |
590 S WAKARA WAY |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524862 | Kimberly M Ross | Occupational Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2005-08-03 |
| 1558988717 | Logan James Couce | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-07-02 |
| 1457976581 | Abigail Bigham | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-06-15 |
| 1073141768 | Matthew Jiajing Siebert | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-30 |
| 1326676370 | Joshua Paul Rainey | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-27 |
| 1407483886 | Olivia Grothaus | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1316574775 | Eleanor Hope Sato | Student in an Organized Health Care Education/Training Program | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-03-25 |
| 1922632959 | Alexander John Reese | Pharmacist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2020-02-28 |
| 1679110548 | Byron C Miller | Physical Therapist | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-12-10 |
| 1851933501 | Gabrielle Lecheminant Grimmer | Physician Assistant | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2019-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| 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 |
|---|---|---|---|---|
| 1437533932 | Krystal Ahlstrom | Specialist | 544 E Wilmington Ave, Salt Lake City, UT 84106-1419 | 2015-07-14 |
| 1528460607 | John Miller Holman Jr. | Specialist | 4765 S Ichabod St, Salt Lake City, UT 84117-6461 | 2014-09-21 |
| 1750795423 | Judy Denise Wall | Specialist | 4425 S Camille St, Salt Lake City, UT 84124-3624 | 2014-06-20 |
| 1821434424 | Robert Bradley Wray | Specialist | 2665 E. Parleys Way, #204, Salt Lake City, UT 84109-1672 | 2013-05-22 |
| 1295170850 | Rodolphe Ruffy | Specialist | 4228 S Park Terrace Dr, Salt Lake City, UT 84124-3417 | 2013-05-08 |
| 1063857159 | Afshin Ahmadiyan | Specialist | 2431 E Catalina Dr, Salt Lake City, UT 84121-3939 | 2013-05-03 |
| 1508112426 | Floyd Jackson Millet | Specialist | 2015 Scenic Dr, Salt Lake City, UT 84108-3317 | 2012-07-29 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1437422995 | Brent Farr Robertson | Specialist | 1321 E South Temple, 5, Salt Lake City, UT 84102-1830 | 2012-02-14 |
| 1861787756 | William Halls | Specialist | 171 3rd Ave, # 310, Salt Lake City, UT 84103-5006 | 2011-06-18 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on MR. MARK ERIC BEESE.
| 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.