DR. DANIEL J KWAK (NPI# 1023185444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023185444 |
| Entity Type | Individual |
| Full Name | DR. DANIEL J KWAK |
| Credential | MD |
| Practice Address |
175 N 100 W Ste 106 Vernal UT 84078 |
| Practice Telephone | 4357899060 |
| Practice Fax Number | 4357897754 |
| Mailing Telephone | 4357899060 |
| Mailing Fax Number | 4357897754 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2011-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 6321491-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
6321491-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639493521 | Daniel Jung Kwak | Acupuncturist | 5100 N 6th St Ste 105, Fresno, CA 93710-7506 | 2010-03-21 |
| 1285262733 | Daniel Kwak | Student in an Organized Health Care Education/Training Program | 1740 W Taylor St, Chicago, IL 60612-7232 | 2020-03-31 |
| Street Address |
175 N 100 W STE 106 |
| City | VERNAL |
| State | UT |
| Zip Code | 84078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805500 | Rodney A. Pollary | Pediatrics | 175 N 100 W, Ste 106, Vernal, UT 84078 | 2005-07-18 |
| 1497116479 | Dr Adam Madsen Orthopedic Surgery | Orthopaedic Surgery | 175 N 100 W, #205-b, Vernal, UT 84078-2049 | 2016-03-17 |
| 1407143324 | Matthew C Bowen | Family Medicine | 175 N 100 W, Suite 205a, Vernal, UT 84078-2049 | 2011-06-29 |
| 1588973978 | Alma Parker Md PC | Family Medicine | 175 N 100 W, Ste 205c, Vernal, UT 84078-2049 | 2010-10-01 |
| 1174843783 | Adam Madsen | Orthopaedic Surgery | 175 N 100 W, Suite 204, Vernal, UT 84078-2033 | 2010-06-04 |
| 1255568564 | Ashley Valley Physician Practice LLC | Orthopaedic Surgery | 175 N 100 W, Suite 204, Vernal, UT 84078-2049 | 2009-06-12 |
| 1518193184 | Ethan Pettit | Pediatrics | 175 N 100 W, Ste 106, Vernal, UT 84078-2049 | 2009-06-09 |
| 1023256120 | Jeremy Strange | Podiatrist | 175 N 100 W, Ste N104, Vernal, UT 84078-2049 | 2009-01-27 |
| 1982875084 | Burk T Young Md PC | Specialist | 175 N 100 W, Suite 201, Vernal, UT 84078-2049 | 2008-03-17 |
| 1558559054 | Richard V Thomas Md PC | Obstetrics & Gynecology | 175 N 100 W, Ste 105, Vernal, UT 84078-2049 | 2007-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| 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 |
|---|---|---|---|---|
| 1902805500 | Rodney A. Pollary | Pediatrics | 175 N 100 W, Ste 106, Vernal, UT 84078 | 2005-07-18 |
| 1518435452 | Pettit Pediatrics LLC | Pediatrics | 1360 W Highway 40, Vernal, UT 84078-4203 | 2018-11-08 |
| 1518193184 | Ethan Pettit | Pediatrics | 175 N 100 W, Ste 106, Vernal, UT 84078-2049 | 2009-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448057 | Puzzle Pediatrics LLC | Pediatrics | 230 N Hospital Dr Ste 3, Price, UT 84501-4222 | 2020-08-21 |
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1184184632 | Abbey Jo Bentley | Pediatrics | 1248 E 90 N Ste 202, American Fork, UT 84003-2959 | 2019-03-21 |
| 1114487717 | Heber Valley Medical LLC | Pediatrics | 380 E 1500 S Ste 201, Heber City, UT 84032-3942 | 2019-03-21 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1124548805 | Joshua Brent Maxwell | Pediatrics | 8822 S Redwood Rd Ste C211, West Jordan, UT 84088-9340 | 2017-06-22 |
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1134672074 | Robert Jarrett | Pediatrics | 12669 S Toscana Way, Herriman, UT 84096-4866 | 2016-07-27 |
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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.