DR. BRYCE DESMOND (NPI# 1063851871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063851871 |
| Entity Type | Individual |
| Full Name | DR. BRYCE DESMOND |
| Credential | D.O. |
| Practice Address |
9450 S 1300 E Sandy UT 84094-5555 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8015016333 |
| Practice Fax Number | 8015016225 |
| Mailing Telephone | (801) 501-6333 |
| Mailing Fax Number | 8015016225 |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 10232794-1204 | UT | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | PG163800 | OR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1793 13th St Se, Salem, OR 973022541 | 5033628385 | 5033628435 |
| Street Address |
9450 S 1300 E |
| City | SANDY |
| State | UT |
| Zip Code | 84094-5555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091230 | Charles Darrell Katz | Specialist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2005-08-23 |
| 1861951840 | Jacob Korish | Physical Therapist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2019-03-18 |
| 1720584147 | Leigh Simpson | Registered Nurse | 9450 S 1300 E, Sandy, UT 84094 | 2018-04-04 |
| 1720594096 | Rita Gerarda Schmidt | Registered Nurse | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-12-21 |
| 1750891552 | Teran Mccormick | Physician Assistant | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-10-05 |
| 1497284681 | Ihc Health Services Inc | Family Medicine | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-06-09 |
| 1659806529 | Ihc Health Services Inc | Podiatrist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2017-04-27 |
| 1720433006 | Carla Suarez | Pediatrics | 9450 S 1300 E, Sandy, UT 84094 | 2016-04-25 |
| 1194184127 | Jeffery Dee Speth Jr. | Pharmacist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2016-02-18 |
| 1265817688 | Travis Cook | Physician Assistant | 9450 S 1300 E, 120, Sandy, UT 84094-5555 | 2015-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
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| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902126204 | Ihc Health Services Inc | Dermatology | 9450 S 1300 E, Sandy, UT 84094 | 2010-06-09 |
| 1508076928 | Paul E. Harrison | Dermatology | 10011 Centennial Pkwy, Ste 200, Sandy, UT 84070-4156 | 2007-05-23 |
| 1750418612 | Trueskin Dermatology & Surgery Inc | Dermatology | 10011 Centennial Pkwy, Suite 200, Sandy, UT 84070-4156 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1548810401 | Smart & Gibbs | Dermatology | 3200 W Clubhouse Dr Ste 100, Lehi, UT 84043-4325 | 2019-09-12 |
| 1043874332 | Waymore Shade LLC | Dermatology | 451 S Main St Ste 1, Springville, UT 84663-2293 | 2019-04-23 |
| 1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1417467986 | Red Ledges Dermatology Pllc | Dermatology | 1449 N 1400 W Ste 22, St George, UT 84770-5237 | 2017-10-10 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1861861155 | Brent H. Goodsell, Do | Dermatology | 162 S 1100 E, American Fork, UT 84003-2817 | 2015-09-17 |
| 1912316654 | Jeanna Tachiki Ryan | Dermatology | 243 E 6100 S, Murray, UT 84107-7302 | 2014-08-07 |
| 1659785889 | Dana Rice | Dermatology | 6095 S Fashion Blvd Ste 270, Murray, UT 84107-7387 | 2014-06-16 |
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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.