UNIVERSITY OF UTAH ADULT SERVICES (NPI# 1083091623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083091623 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Other Organization Name | STAR VALLEY MEDICAL CENTER-CARDIOLOGY EP |
| Practice Address |
901 Adams St Afton WY 83110-9621 |
| Mailing Address |
Po Box 841450 Los Angeles CA 90084-1450 |
| Practice Telephone | 8015812121 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | EDWARD CLARK (DEPT CHAIR) |
| Authorized Official Telephone | 8015876336 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| STAR VALLEY MEDICAL CENTER-Cardiology EP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135984 | University of Utah Adult Services | Audiologist | 417 S Wakara Way, 1112, Salt Lake City, UT 84108-1436 | 2017-03-22 |
| 1083158257 | University of Utah Adult Services | Dentist | 375 S Chipeta Way Ste A200, Salt Lake City, UT 84108-1261 | 2016-12-07 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1255719407 | University of Utah Adult Services | Internal Medicine | 1208 Hilltop Dr Ste 102, Rock Springs, WY 82901-5858 | 2015-05-08 |
| 1932586294 | University of Utah Adult Services | Internal Medicine | 250 South Eagle Road, Meridian, ID 83642 | 2015-05-06 |
| 1629455282 | University of Utah Adult Services | Internal Medicine | 976 Mountian City Hwy, A Plus Total Care, Elko, NV 89801-2728 | 2015-05-04 |
| 1356745137 | University of Utah Adult Services | Internal Medicine | 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 | 2014-10-22 |
| 1851904247 | University of Utah Adult Services | Orthopaedic Surgery | 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 | 2020-08-26 |
| 1114431921 | University of Utah Adult Services | Internal Medicine | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2017-12-01 |
| 1174033989 | University of Utah Adult Services | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-06 |
| Street Address |
901 ADAMS ST |
| City | AFTON |
| State | WY |
| Zip Code | 83110-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255376406 | North Lincoln County Hospital District | General Acute Care Hospital | 901 Adams St, Afton, WY 83110-9621 | 2006-06-19 |
| 1013572874 | Kelli Hansen | Specialist/Technologist | 901 Adams St, Afton, WY 83110-9621 | 2019-05-07 |
| 1033692108 | Troy Bailey | Dietitian, Registered | 901 Adams St, Afton, WY 83110-9621 | 2018-09-13 |
| 1689166266 | Mark Wayne Larsen | Nurse Practitioner | 901 Adams St, Afton, WY 83110-9621 | 2018-05-31 |
| 1609302009 | Allen Boyd Simpson | Occupational Therapist | 901 Adams St, Afton, WY 83110-9621 | 2017-05-04 |
| 1316490469 | Madeline Mcclelland | Speech-Language Pathologist | 901 Adams St, Afton, WY 83110-9621 | 2016-07-25 |
| 1760841696 | Brady Esplin | Physician Assistant | 901 Adams St, Afton, WY 83110-9621 | 2016-02-20 |
| 1619355864 | University of Utah Adult Services | Internal Medicine | 901 Adams St, Afton, WY 83110-9621 | 2015-05-08 |
| 1013307768 | Korry Wheeler | Physical Therapist | 901 Adams St, Afton, WY 83110-9621 | 2015-02-03 |
| 1336572213 | Scott Dean Berglund | Rehabilitation Unit | 901 Adams St, Afton, WY 83110-9621 | 2013-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487269569 | Allred Performance and Rehabilitation LLC | Physical Therapist | 533 Allred Rd, Afton, WY 83110 | 2020-09-15 |
| 1427691211 | Rhet Mitchell Long | Pharmacist | 307 S Washington, Afton, WY 83110 | 2019-10-24 |
| 1609425859 | Cori Anderson | Physician Assistant | 47 Doc Perkes Ln, Afton, WY 83110 | 2019-09-10 |
| 1649737560 | Our Valley Pharmacy | Pharmacy | 307 South Washington, Afton, WY 83110 | 2019-02-27 |
| 1073090585 | Star Valley Healthcare, Inc. | Home Health | 625 S Washington St, Ste B, Afton, WY 83110 | 2018-07-26 |
| 1669962247 | Easy Access LLC. | Durable Medical Equipment & Medical Supplies | 152 Hillview Dr., Afton, WY 83110 | 2018-05-18 |
| 1457890659 | Beyond Home Living, LLC | Assisted Living Facility | 153 Doyle Child Circle, Afton, WY 83110 | 2017-02-21 |
| 1396294914 | Jamie Armstrong | Speech-Language Pathologist | 675 Washington, Afton, WY 83110 | 2016-09-23 |
| 1295184398 | Northwest Home Health LLC | Home Health | 422 South Washington, Ste F, Afton, WY 83110 | 2016-06-09 |
| 1811363955 | Ashley Hall | Registered Nurse | 125 South Washington, Afton, WY 83110 | 2015-08-12 |
| Find all providers in zip 83110 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750769634 | University of Utah Adult Services | Internal Medicine | 1200 College Dr, Rock Springs, WY 82901-5868 | 2015-05-12 |
| 1275911422 | University of Utah Adult Services | Internal Medicine | 2761 Commercial Way, Rock Springs, WY 82901-4753 | 2015-05-08 |
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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.