DR. AMY TREMAIN KIRK (NPI# 1043330723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043330723 |
Entity Type | Individual |
Full Name | DR. AMY TREMAIN KIRK |
Credential | M.D. |
Practice Address |
295 Chipeta Way Salt Lake City UT 84108-1220 |
Mailing Address |
3529 Westwood Dr Salt Lake City UT 84109-3240 |
Practice Telephone | 8015817052 |
Practice Fax Number | 8015857395 |
Mailing Telephone | 8012730085 |
Enumeration Date | 2007-03-29 |
Last Update Date | 2008-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 378889-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
378889-1205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396166179 | Amy Kirk | Nurse Anesthetist, Certified Registered | 35 Medical Center Pkwy, Augusta, ME 04330-8160 | 2013-12-23 |
1437202314 | Amy Minga Kirk | Speech-Language Pathologist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-01-22 |
1407851876 | Amy M Kirk | Nurse Practitioner | 393 E Town St, Suite 109, Columbus, OH 43215-4741 | 2005-06-14 |
Street Address |
295 CHIPETA WAY |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84108-1220 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891751384 | Emily A Thorell | Pediatrics | 295 Chipeta Way, 2s010, Salt Lake City, UT 84108-1287 | 2006-04-24 |
1760851075 | Jacob Kean | Speech-Language Pathologist | 295 Chipeta Way, Williams Building, Rm 1n490, Salt Lake City, UT 84108 | 2015-09-16 |
1215293667 | Reena Patel Tam | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2012-04-10 |
1437447190 | Tiffany Kae Profsky | Nurse Practitioner | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-07-15 |
1902110232 | Larissa Beyerlein | Pediatrics | 295 Chipeta Way, Department of Pediatric Emergency Medicine, Salt Lake City, UT 84158 | 2010-07-28 |
1629303839 | Caroline Hagedorn | Nurse Practitioner | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2009-10-05 |
1245490424 | Eric Wallace Glissmeyer | General Acute Care Hospital | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-11 |
1295995694 | France A Davis II | Physician Assistant | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-10 |
1669631826 | Tamara Elena Pool | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-06-03 |
1811164031 | Shrena Patel | Pediatrics | 295 Chipeta Way, Salt Lake City, UT 84108-1287 | 2008-05-15 |
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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 | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
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/certification - 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 |
---|---|---|---|---|
1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
1356876858 | Allison M. Fisher | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-04-22 |
1427580794 | Ariel Tarrell | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2017-03-28 |
1003366766 | Anastasiya Mankouski | Pediatrics | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2016-10-06 |
1770947814 | University of Utah Pediatric Acuity Care | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-05 |
1235591876 | Whitley Hulse | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84132-1287 | 2016-03-23 |
1013322494 | Matthew Douglass | Pediatrics | 50 N Medical Dr, Salt Lake City, UT 84132-5524 | 2014-06-24 |
1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
1346538808 | Carrie Beth Torr | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-07-19 |
1134416183 | Sabrina Renee Malone Jenkins | Pediatrics | 295 S Chipeta Way, Salt Lake City, UT 84108-1287 | 2011-06-28 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84108 |
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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.