YVONNE POTTER FUELLENBACH


Address: 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121
Phone: 8013144130

YVONNE POTTER FUELLENBACH (NPI# 1063645554) 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) 1063645554
Entity Type Individual
Full Name YVONNE POTTER FUELLENBACH
Credential PA-C
Practice Address 5848 Fashion Blvd Ste 110
Murray
UT 84107-6121
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8013144130
Practice Fax Number 8013144011
Mailing Telephone 8013144130
Mailing Fax Number 8013144011
Enumeration Date 2009-08-31
Last Update Date 2016-04-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
APPLIED UT Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant 264696-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5848 FASHION BLVD STE 110
City MURRAY
State UT
Zip Code 84107-6121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992786115 Brandon J Ferney Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2005-11-07
1588849483 Roy H Trawick Md PC Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2008-01-09
1366460420 G Lynn Rasmussen Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-17
1467486795 Nathan G Momberger Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

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
1447725247 Shonti G. Breisch Physician Assistant 6150 S Vineway Cir, Murray, UT 84121-1947 2018-10-08
1043705866 Jeffery Mccleve Physician Assistant 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 2018-06-25
1518402098 Philip John Swink Physician Assistant 650 E 4500 S Ste 100, Murray, UT 84107-4536 2016-12-20
1760849657 Molly Ann Nowill Physician Assistant 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 2016-01-22
1114399839 Scott West Physician Assistant 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 2015-10-21
1679901169 Jennifer Aileen Wight Physician Assistant 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 2013-10-22
1164728960 Lex Kiyoshi Grimley Physician Assistant 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 2011-01-27
1760618730 Kelly Lynae Richardson Physician Assistant 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 2009-06-04
1184887051 Meredith Evin Pike Physician Assistant 5450 S Green St, Murray, UT 84123-5632 2008-07-09
1215091525 Matthew M Neddo Physician Assistant 5911 S Fashion Blvd, Murray, UT 84107-7352 2006-12-21
Find all providers in MURRAY

Competitor

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City MURRAY
Zip Code 84107

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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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