TED R SCHULTZ MD LLC (NPI# 1003069246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003069246 |
| Entity Type | Organization |
| Organization Name | TED R SCHULTZ MD LLC |
| Practice Address |
866 Padley St Salt Lake City UT 84108-1414 |
| Mailing Address |
555 E 4500 S C150 Salt Lake City UT 84107-4533 |
| Practice Telephone | 8012024892 |
| Mailing Telephone | 8012880747 |
| Mailing Fax Number | 8012880761 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Authorized Official Name | TED R SCHULTZ (OWNER) |
| Authorized Official Telephone | 8012024892 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 348875-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
866 PADLEY ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1414 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
| 1750922415 | Woundtech of Utah, Inc. | General Practice | 517 D St, Salt Lake City, UT 84103-2831 | 2019-10-03 |
| 1588928923 | Douglas Stein | General Practice | 5 S 500 W Unit 1205, Salt Lake City, UT 84101-4127 | 2012-06-29 |
| 1639430960 | Rita Florian Pingree | General Practice | 350 S 200 E, 400, Salt Lake City, UT 84111-2410 | 2012-06-04 |
| 1437430915 | Carter Brooke Jennings | General Practice | 2811 E 4135 S, Salt Lake City, UT 84124-3043 | 2011-08-29 |
| 1255620068 | Chad Chenoweth | General Practice | 1512 E 3115 S, Salt Lake City, UT 84106-3456 | 2011-04-01 |
| 1154622587 | Wallace Harold Ring | General Practice | 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108-2110 | 2010-11-17 |
| 1639484025 | Fast Track Billing Inc | General Practice | 50 W Broadway, Suite 1000, Salt Lake City, UT 84101-2020 | 2010-08-10 |
| 1639495047 | Martin Richard Buta | General Practice | Department of General Surgery, 30 N. 1900 E., 3b324 Som, Salt Lake City, UT 84132-0001 | 2010-04-09 |
| 1548406325 | Brent Carl James | General Practice | 36 S State St Fl 16, Salt Lake City, UT 84111-1633 | 2008-12-27 |
| 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 TED R SCHULTZ MD LLC.
| 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.