VALLEY OBSTETRICS AND GYNECOLOGY, P.C. (NPI# 1992279392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992279392 |
| Entity Type | Organization |
| Organization Name | VALLEY OBSTETRICS AND GYNECOLOGY, P.C. |
| Other Organization Name | VALLEY WOMEN'S BEHAVIORAL HEALTH |
| Practice Address |
585 N 500 W Provo UT 84601-1548 |
| Practice Telephone | 8013741801 |
| Practice Fax Number | 8012168357 |
| Mailing Telephone | 8013741801 |
| Mailing Fax Number | 8012168357 |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |
| Authorized Official Name | ADAM RASMUSSEN (CEO) |
| Authorized Official Telephone | 8013741802 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Valley Women's Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050221 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1900 N State St Ste 105, Provo, UT 84604-1354 | 2018-11-01 |
| 1962923433 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 1250 E 3900 S Ste 200, Salt Lake City, UT 84124-1368 | 2017-07-05 |
| 1346718764 | Valley Obstetrics and Gynecology, P.C. | Clinical Medical Laboratory | 585 N 500 W, Provo, UT 84601-1548 | 2018-11-03 |
| 1164952826 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 700 W 800 N, Orem, UT 84057-6301 | 2017-06-15 |
| 1558773242 | Valley Obstetrics and Gynecology, P.C. | Family Medicine | 585 N 500 W, Provo, UT 84601-1548 | 2014-05-29 |
| 1710399472 | Valley Obstetrics and Gynecology, P.C. | Obstetrics & Gynecology | 285 E 400 S, Springville, UT 84663-1957 | 2014-05-28 |
| 1780002188 | Valley Obstetrics and Gynecology, P.C. | Advanced Practice Midwife | 120 N 1220 E, Suite 7, American Fork, UT 84003-2089 | 2014-04-02 |
| 1841415338 | Valley Obstetrics and Gynecology, P.C. | Clinic/Center | 39 Professional Way, #4, Payson, UT 84651-1675 | 2007-04-17 |
| Street Address |
585 N 500 W |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639150485 | Jeffrey Charles Broberg | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2005-11-09 |
| 1396397733 | Karlie Porter | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-16 |
| 1366004244 | Brittany Elise Mccready | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-07-01 |
| 1366003840 | Jennifer Lauren Smith | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2019-06-25 |
| 1437613874 | Tiniesha Lynn Jensen | Registered Nurse | 585 N 500 W, Provo, UT 84601-1548 | 2019-01-30 |
| 1346718764 | Valley Obstetrics and Gynecology, P.C. | Clinical Medical Laboratory | 585 N 500 W, Provo, UT 84601-1548 | 2018-11-03 |
| 1770021123 | Tina Nackos | Advanced Practice Midwife | 585 N 500 W, Provo, UT 84601-1548 | 2017-02-06 |
| 1437607876 | Sarah Roberts | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2016-09-14 |
| 1952786196 | Stephanie Miller | Nurse Practitioner | 585 N 500 W, Provo, UT 84601-1548 | 2015-07-29 |
| 1427436559 | Steven Cowles | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601 | 2015-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326492109 | Pennington Medical Center | Obstetrics & Gynecology | 3507 N University Ave Ste 175, Provo, UT 84604-6692 | 2016-04-19 |
| 1922309723 | Ihc Health Services Inc | Obstetrics & Gynecology | 395 W Bulldog Blvd Fl 7, Provo, UT 84604-3311 | 2010-11-10 |
| 1487803482 | Richard W. Lohner | Obstetrics & Gynecology | 1701 No. 1450 E., Provo, UT 84604 | 2008-09-15 |
| 1952427031 | Scott S. Rees | Obstetrics & Gynecology | 920 N 500 W, Provo, UT 84604-3339 | 2007-03-21 |
| 1437225612 | David Harrison Broadbent | Obstetrics & Gynecology | 1355 N University Ave # 130, Suite # 130, Provo, UT 84604 | 2006-11-28 |
| 1942302211 | Clair Joseph Glenn | Obstetrics & Gynecology | 1055 N 300 W Ste 110, Provo, UT 84604-3381 | 2006-09-05 |
| 1386746659 | Julie Glenn Grover | Obstetrics & Gynecology | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2006-09-05 |
| 1457469249 | George C Gourley | Obstetrics & Gynecology | 1055 N 300 W Ste 305, Provo, UT 84604-3373 | 2006-08-29 |
| 1639150485 | Jeffrey Charles Broberg | Obstetrics & Gynecology | 585 N 500 W, Provo, UT 84601-1548 | 2005-11-09 |
| 1902430531 | Brighter Path Addiction Medicine | Obstetrics & Gynecology | 619 N 500 W, Provo, UT 84601-1547 | 2020-02-21 |
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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.