DR. CHARLES MIKELL BOVA (NPI# 1013071885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013071885 |
| Entity Type | Individual |
| Full Name | DR. CHARLES MIKELL BOVA |
| Credential | M.D. |
| Practice Address |
3336 Pioneer Pkwy Suite 204 West Valley City UT 84120-2000 |
| Mailing Address |
3065 Oak Rim Ln Park City UT 84060-6804 |
| Practice Telephone | 8019643249 |
| Mailing Telephone | 4356558648 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
185699 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3336 PIONEER PKWY SUITE 204 |
| City | WEST VALLEY CITY |
| State | UT |
| Zip Code | 84120-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621052 | Tan D Tran | Family Medicine | 3336 Pioneer Pkwy, #302, West Valley City, UT 84120-2000 | 2005-10-05 |
| 1043425457 | Katherine Brewster Demcak | Physical Therapy Assistant | 3336 Pioneer Pkwy, West Valley City, UT 84120-2000 | 2007-05-11 |
| 1558588475 | Spine & Sports Medicine | Pain Medicine | 3336 Pioneer Pkwy, #204, West Valley City, UT 84120-2000 | 2007-04-20 |
| 1326169632 | West Valley Family and Preventive Medicine | Family Medicine | 3336 Pioneer Pkwy, #302, West Valley City, UT 84120-2000 | 2007-04-03 |
| 1598820318 | John Howard Loomis IIi | Family Medicine | 3336 Pioneer Pkwy, #204, West Valley City, UT 84120-2000 | 2006-12-22 |
| 1073677845 | Spine and Sports Medicine Inc | Neuromusculoskeletal Medicine, Sports Medicine | 3336 Pioneer Pkwy, Suite 204, West Valley City, UT 84120-2000 | 2006-12-19 |
| 1609934132 | Pioner Valley Hospital Inc | Internal Medicine | 3336 Pioneer Pkwy, Suite 302, West Valley City, UT 84120-2000 | 2006-12-05 |
| 1700816709 | Jon Randal Young | Podiatrist | 3336 Pioneer Pkwy, Ste 302, West Valley City, UT 84120-2000 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349213 | Eli Kenny | Physical Therapist | 336 South 4155 West, West Valley City, UT 84120 | 2019-07-25 |
| 1841765377 | Wan Jen Horng | Pharmacist | 4052 Pioneer Parkway, # 111, West Valley City, UT 84120 | 2018-10-11 |
| 1841784220 | Andrea Savas | Physical Therapist | 3460 South 4155 West, West Valley City, UT 84120 | 2018-06-19 |
| 1235628223 | Meds In Motion, LLC | Pharmacy | 12101 S State St, Suite 101a, Draper, UT 84120 | 2018-05-04 |
| 1316477383 | Kendra Lindsey | Social Worker | 4052 W 3390 S Suite 105, West Valley City, UT 84120 | 2017-06-13 |
| 1154726842 | National Vision, Inc. | Technician/Technologist | 2569 South 5600 West, Ste A 550, West Valley, UT 84120 | 2014-10-24 |
| 1154637825 | Granger Pediatric Dentistry | Clinic/Center | 3725 W. 4100 S., Suite #260, West Valley City, UT 84120 | 2010-08-19 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1336384197 | Bamileke Sinju Sinju | Home Health | 3712 South Golden Grain Cir, West Valley City, UT 84120 | 2008-12-09 |
| 1164673331 | Empowered for Life, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5004 West Janette Drive, West Valley City, UT 84120 | 2008-10-07 |
| Find all providers in zip 84120 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194144329 | Austin Lebron Albright | Physical Medicine & Rehabilitation | 6360 S 3000 E Ste 200, Salt Lake City, UT 84121-6925 | 2014-04-15 |
| 1255691986 | Gregory Lyman Condie | Physical Medicine & Rehabilitation | 3838 S 700 E # 300, Slc, UT 84106-1466 | 2012-05-29 |
| 1407026420 | Qamar Khan | Physical Medicine & Rehabilitation | 661 W 10600 S, South Jordan, UT 84095-8524 | 2008-03-05 |
| 1942492079 | Edgar Clinton Goldston Jr. | Physical Medicine & Rehabilitation | 175 North Medical Drive East, Salt Lake City, UT 84132-2303 | 2007-08-13 |
| 1871799528 | Cole W Robinson | Physical Medicine & Rehabilitation | 860 N Main St Ste B, Richfield, UT 84701-1840 | 2007-06-21 |
| 1285673434 | David James Peifer | Physical Medicine & Rehabilitation | George E. Wahlen Veterans Administration Medical C, 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-06-05 |
| 1154312197 | Bradley Dryden Root | Physical Medicine & Rehabilitation | 1424 E Foremaster Dr Ste 120, St George, UT 84790-5844 | 2005-10-31 |
| 1225036064 | Brian K Olenslager | Physical Medicine & Rehabilitation | 3585 N University Ave, Ste 150, Provo, UT 84604-6601 | 2005-07-13 |
| 1861490278 | Corey D Anden | Physical Medicine & Rehabilitation | 4403 Harrison Blvd Ste 1875, Ogden, UT 84403-3325 | 2005-07-09 |
| 1699148197 | Ihc Health Services Inc | Physical Medicine & Rehabilitation | 412 W 800 N, Orem, UT 84057-3728 | 2015-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST VALLEY CITY |
| Zip Code | 84120 |
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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.