MIKOL ROBERT ANDERSON


Address: 1250 E 3900 S, Suite 420, Salt Lake City, UT 84124-1348
Phone: 8012699939

MIKOL ROBERT ANDERSON (NPI# 1992910905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992910905
Entity Type Individual
Full Name MIKOL ROBERT ANDERSON
Credential DPM
Practice Address 1250 E 3900 S
Suite 420
Salt Lake City
UT 84124-1348
Mailing Address Po Box 932
Sandy
UT 84091-0932
Practice Telephone 8012699939
Practice Fax Number 8012699949
Mailing Telephone 8015539568
Mailing Fax Number 8015539562
Enumeration Date 2007-05-12
Last Update Date 2008-10-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 59638310501 UT Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT 1992910905 05

Office Location

Street Address 1250 E 3900 S
SUITE 420
City SALT LAKE CITY
State UT
Zip Code 84124-1348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275530305 Camille Collett Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2005-07-05
1548795792 Cammey Young Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2017-04-25
1285167015 Danielle Williamson Lin Student in an Organized Health Care Education/Training Program 1250 E 3900 S, 260, Salt Lake City, UT 84124-1348 2017-04-08
1609308717 Brian Christopher Johnson Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2017-03-29
1144776089 Rosemarie Linsler Nurse Practitioner 1250 E 3900 S, #260, Salt Lake City, UT 84124-1348 2016-08-31
1104289487 Alec Kitch Family Medicine 1250 E 3900 S, Suite #260 Br, Salt Lake City, UT 84124-1348 2016-04-03
1538522461 Ian Michael Mcdaniels Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2016-03-29
1891151668 Abby N Crume Do PC Colon & Rectal Surgery 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 2016-01-11
1679955017 Summit Oral & Maxillofacial Surgery Dentist 1250 E 3900 S, Ste 210, Salt Lake City, UT 84124-1348 2015-06-22
1447667217 Granger Medical Clinic, Inc. Clinic/Center 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 2014-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
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Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063807485 Salt Lake Foot and Ankle Pllc Podiatrist 315 W Reed Ave, Unit 1, Salt Lake City, UT 84103-1492 2015-04-02
1689778771 Robbe T Rigby Podiatrist 2435 S Highland Dr, Salt Lake City, UT 84106 2006-09-11
1538171467 Annemarie A. Edwards Podiatrist 1955 E. 5600 S., Salt Lake City, UT 84121-1372 2006-08-12
1679590558 Elizabeth E Auger Podiatrist 3920 South 1100 East, Ste 115, Salt Lake City, UT 84124 2006-07-16
1619965225 H Ronald Brown Podiatrist 4370 S Redwood Rd #b, Salt Lake City, UT 84123-2223 2005-10-07
1215463724 Utah Podiatric Physicians and Surgeons Group LLC Podiatrist 144 S 700 E, Salt Lake City, UT 84102-1357 2017-05-03
1851826721 Utah Podiatric Physicians and Surgeons Group LLC Podiatrist 4578 S Highland Dr, #380, Salt Lake City, UT 84117-4243 2017-04-27
1235526682 Taylor G Wright P.C. Podiatrist 4624 S Holladay Blvd Ste 201, Salt Lake City, UT 84117 2015-04-23
1174942460 Utah Podiatric Physicians and Surgeons Group LLC Podiatrist 430 N 400 W, Salt Lake City, UT 84103-1229 2014-04-15
1538500731 Anna L Hronek Podiatrist 500 Foothill Dr, Salt Lake City, UT 84148-0001 2013-07-16
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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