HOBBLE CREEK MEDICAL CLINIC, LLC (NPI# 1013240845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013240845 |
| Entity Type | Organization |
| Organization Name | HOBBLE CREEK MEDICAL CLINIC, LLC |
| Practice Address |
672 W. 400 S. Suite 101 Springville UT 84663 |
| Practice Telephone | 8014919883 |
| Practice Fax Number | 8014893141 |
| Mailing Telephone | 8014919883 |
| Mailing Fax Number | 8014893141 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | DAVID S DEVENPORT (M. D.) |
| Authorized Official Telephone | 8014919883 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 74190550160 | UT | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 74190550160 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
672 W. 400 S. SUITE 101 |
| City | SPRINGVILLE |
| State | UT |
| Zip Code | 84663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962453688 | Mark Jonathan Devenport | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-05-15 |
| 1245258425 | David Devenport | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-17 |
| 1821016015 | Deborah Hill | Nurse Practitioner | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-17 |
| 1598799462 | Ian Mcmaster | Family Medicine | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-10 |
| 1225062904 | George H Michalek | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659900835 | Change Academy At Lake of The Ozarks | Residential Treatment Facility, Emotionally Disturbed Children | 266 South Left Fork Hobble Creek Canyon Road, Springville, UT 84663 | 2020-04-08 |
| 1780215269 | Reboot Centers Hobble Creek | Clinical Neuropsychologist | 1154 Left Fork Hobble Creek Canyon Rd, Springville, UT 84663 | 2020-02-03 |
| 1063053866 | Jesus Lopez | Clinic/Center | 1461 Archmore Loop, Springville, UT 84663 | 2019-10-02 |
| 1689109506 | Cd Pharmacy LLC | Pharmacy | 863 W 450 S, Suite 201, Springville, UT 84663 | 2017-04-28 |
| 1215479225 | Jaydynn Cusworth | Behavior Technician | 692 S 2800 W Unit I 101, Springville, UT 84663 | 2016-11-08 |
| 1245699602 | Pamela Jamison | Speech-Language Pathologist | 1072 Wildflower Way, Springville, UT 84663 | 2016-02-14 |
| 1013397348 | Lindsay Erickson | Counselor | 470 Buckley Ave, Springville, UT 84663 | 2015-06-02 |
| 1790084903 | Grant Lee Murdoch | Counselor | 1102 N 850 W, Springville, UT 84663 | 2011-03-28 |
| 1306148739 | Siuta Sonny Faaootoa | Counselor | 551 North Main Street, Springville, UT 84663 | 2010-11-17 |
| 1891000790 | Christopher David Westover | Social Worker | 716 N 200 E, Springville, UT 84663 | 2010-08-16 |
| Find all providers in zip 84663 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275952517 | David Barron Griffin | Pediatrics | 350 Springville Sta, Springville, AL 35146-6163 | 2014-04-15 |
| 1962554568 | Stacey Townsend | Pediatrics | 672 W 400 S Ste 101, Springville, UT 84663-3170 | 2007-01-17 |
| 1962453688 | Mark Jonathan Devenport | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-05-15 |
| 1245258425 | David Devenport | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-17 |
| 1225062904 | George H Michalek | Pediatrics | 672 W. 400 S., Suite 101, Springville, UT 84663 | 2006-07-10 |
| 1598722159 | Springville Pediatrics, LLP | Pediatrics | 25 E Main St, Springville, NY 14141-1244 | 2006-04-27 |
| 1386600765 | Lynda Margaret Stidham | Pediatrics | 25 E Main St, Springville, NY 14141-1244 | 2006-04-25 |
| 1598752438 | Susan Fischbeck | Pediatrics | 25 E Main St, Springville, NY 14141-1244 | 2005-10-05 |
| 1841287687 | Robbin H Hansen | Pediatrics | 25 E Main St, Springville, NY 14141-1244 | 2005-10-05 |
| 1639165772 | James William Canavan | Pediatrics | 25 E Main St, Springville, NY 14141-1244 | 2005-09-23 |
| Find all providers in SPRINGVILLE | ||||
| City | SPRINGVILLE |
| Zip Code | 84663 |
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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.