WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC (NPI# 1073959714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073959714 |
| Entity Type | Organization |
| Organization Name | WASATCH SPORTS, SPINE & PAIN TREATMENT CENTER PLLC |
| Practice Address |
680 E Main St 202 Lehi UT 84043-2241 |
| Practice Telephone | 8017682755 |
| Practice Fax Number | 8017682658 |
| Mailing Telephone | 8017682755 |
| Mailing Fax Number | 8017682658 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | SPENCER HEATON (PRESIDENT) |
| Authorized Official Telephone | 8017682755 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
680 E MAIN ST 202 |
| City | LEHI |
| State | UT |
| Zip Code | 84043-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017927 | Amy Hawkins | Registered Nurse | 680 E Main St, Lehi, UT 84043 | 2018-03-23 |
| 1811442890 | Leslie Jane Huggins | Nurse Practitioner | 680 E Main St, Lehi, UT 84043-2241 | 2016-08-19 |
| 1861823635 | Jason Charl Evans | Physician Assistant | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2013-12-04 |
| 1457789752 | Michael D Marion Md PC | Clinic/Center | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2013-10-23 |
| 1568806545 | Premier Family Medical | Family Medicine | 680 E Main St, Lehi, UT 84043 | 2013-04-22 |
| 1922368927 | Utah Valley Dermatology PC | Dermatology | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2012-05-23 |
| 1801174164 | Sharilyn Sue Kimball | Nurse Practitioner | 680 E Main St, Premier Family Medical, Lehi, UT 84043-2241 | 2011-08-03 |
| 1588814479 | The Clinic, PC | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-09-26 |
| 1376707323 | Shawn Patrick Mcmanus | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-07-17 |
| 1942402433 | Michael Dean Marion | Plastic Surgery | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
| 1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
| 1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
| 1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
| 1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
| 1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
| Find all providers in zip 84043 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972862605 | Intermountain Pain Management and Injury, Inc | Pain Medicine | 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 | 2012-05-15 |
| 1285958439 | Advanced Spine Pain Specialists | Pain Medicine | 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 | 2010-03-17 |
| 1619907490 | Kyle Shigeru Matsumura | Pain Medicine | 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 | 2006-07-04 |
| 1326665829 | Wasatch Wellness Center LLC | Pain Medicine | 1215 S 1680 W, Orem, UT 84058-4939 | 2020-06-30 |
| 1689226391 | Utah Intermountain Pain Management | Pain Medicine | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1568909836 | Glacier Peak Pain Care Pllc | Pain Medicine | 1407 N 2000 W, Clinton, UT 84015-8562 | 2017-01-25 |
| 1841531340 | Wasatch Pain Solutions, PC | Pain Medicine | 661 W 10600 S, South Jordan, UT 84095-8524 | 2013-03-07 |
| 1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
| 1063721850 | Alta Pain Physicians, Pllc | Pain Medicine | 11333 S 1000 E, #102, Sandy, UT 84094-5428 | 2010-09-28 |
| 1861643330 | Craig William Davis | Pain Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2008-10-02 |
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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.