JONATHAN MIDDLEMISS


Address: 1220 E 3900 S, Ste 4e, Salt Lake City, UT 84124-1377
Phone: 8012618507

JONATHAN MIDDLEMISS (NPI# 1013317361) 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) 1013317361
Entity Type Individual
Full Name JONATHAN MIDDLEMISS
Credential PA-C
Practice Address 1220 E 3900 S
Ste 4e
Salt Lake City
UT 84124-1377
Practice Telephone 8012618507
Practice Fax Number 8012618511
Mailing Telephone 8012618507
Mailing Fax Number 8012618511
Enumeration Date 2014-08-23
Last Update Date 2014-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1220 E 3900 S
STE 4E
City SALT LAKE CITY
State UT
Zip Code 84124-1377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689671737 Chris Lindsey Physician Assistant 1220 E 3900 S, # 4e, Salt Lake City, UT 84124-1327 2005-07-05
1275926149 Caleb Jackson Nurse Practitioner 1220 E 3900 S, Ste 4e, Salt Lake City, UT 84124-1377 2015-03-16
1568700177 Scott A Leckman Md Facs PC Surgery 1220 E 3900 S, Suite 3g, Salt Lake City, UT 84124-1377 2013-01-17
1578859831 Mountainstar Medical Group Neurosurgery - St Marks LLC Neurological Surgery 1220 E 3900 S, Ste. 4-e, Salt Lake City, UT 84124-1377 2011-06-24
1487976866 Utah Cancer Institute, LLC Surgery 1220 E 3900 S, Suite 4f, Salt Lake City, UT 84124-1377 2010-02-25
1922339373 Jill E Clark Md PC Colon & Rectal Surgery 1220 E 3900 S, Ste 4i, Salt Lake City, UT 84124-1377 2010-01-26
1306016712 Richard Schwartz Md PC Neurological Surgery 1220 E 3900 S, Suite 4e, Salt Lake City, UT 84124-1327 2008-03-03
1619190899 Mt. Olympus Obstetrics and Gynecology Obstetrics & Gynecology 1220 E 3900 S, Suite 3e, Salt Lake City, UT 84124-1327 2007-04-10
1952450074 Kurt Christensen Crna PC Nurse Anesthetist, Certified Registered 1220 E 3900 S, Salt Lake City, UT 84124-1327 2007-01-09
1538226295 Richard G Watts Anesthesia Inc Nurse Anesthetist, Certified Registered 1220 E 3900 S, 4g, Salt Lake City, UT 84124-1327 2007-01-02
Find all providers in the same location

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 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556986 Brittany Tran Physician Assistant 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 2020-10-25
1528674975 James Christopher Nichols Physician Assistant 1746 E 2100 S, Salt Lake City, UT 84106-4165 2020-09-21
1841826971 David Souza Physician Assistant 52 N Medical Dr, Salt Lake City, UT 84132-0001 2020-03-20
1134751902 Jacie Anna Mundahl Physician Assistant 8th Ave C St E 80, Salt Lake City, UT 84143-0001 2020-02-10
1336770544 Kelsey Rae Thompson Physician Assistant 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 2020-01-28
1245885458 Adam Douglas Whitney Physician Assistant 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 2019-08-05
1306498654 Jarred J Entringer Physician Assistant 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 2019-07-16
1588216840 Christina Thomas Physician Assistant 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 2019-07-16
1770135022 Evar Saelee Physician Assistant 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 2019-07-16
1982263471 Ashley Marten Physician Assistant 3610 E Cascade Way, Salt Lake City, UT 84109-2307 2019-06-10
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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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