WESTERN NEUROLOGICAL ASSOCIATES INC (NPI# 1083611966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083611966 |
| Entity Type | Organization |
| Organization Name | WESTERN NEUROLOGICAL ASSOCIATES INC |
| Practice Address |
1151 E 3900 S #b150 Salt Lake City UT 84124-1216 |
| Practice Telephone | 8012623441 |
| Practice Fax Number | 8012699005 |
| Mailing Telephone | 8012623441 |
| Mailing Fax Number | 8012699005 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | MICHELLE LYNN HINES (BUSINESS OFFICE) |
| Authorized Official Telephone | 8012623441 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
========= | UT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0055926 | UT | Allopathic & Osteopathic Physicians |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
========= | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 870446965007 | 05 | |
| UT | MEDICARE PTAN | 00055926 | 01 |
| Street Address |
1151 E 3900 S #B150 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286970 | Gary L Halversen | Radiology | 1151 E 3900 S, #b150, Salt Lake City, UT 84124-1216 | 2005-06-22 |
| 1861945578 | Jessica Meekins, Lcsw | Community/Behavioral Health | 1151 E 3900 S, Ste B199, Salt Lake City, UT 84124-1216 | 2016-07-28 |
| 1306203005 | Jessica Anne Meekins | Social Worker | 1151 E 3900 S, Ste B199, Salt Lake City, UT 84124-1216 | 2016-01-26 |
| 1457716961 | Nuttanun Suramaethakul Md LLC | Internal Medicine | 1151 E 3900 S, Suite B299, Salt Lake City, UT 84124-1216 | 2015-12-28 |
| 1114395324 | Stacie A. Sears | Counselor | 1151 E 3900 S, Suite B299, Salt Lake City, UT 84124-1216 | 2015-09-03 |
| 1578849246 | Cutting Edge Physical Therapy | Physical Therapist | 1151 E 3900 S, Ste B199, Salt Lake City, UT 84124-1216 | 2011-10-26 |
| 1366740060 | Toby A Zirkle Md Lc | Family Medicine | 1151 E 3900 S, Suite B299, Salt Lake City, UT 84124-1216 | 2011-03-03 |
| 1740590769 | Mary Michelle Cashman Thomas | Nurse Practitioner | 1151 E 3900 S, Suite B299, Salt Lake City, UT 84124-1216 | 2010-10-08 |
| 1235381765 | Sara Santina Kaplan | Physician Assistant | 1151 E 3900 S, Suite B150, Salt Lake City, UT 84124-1216 | 2008-10-15 |
| 1851558712 | Barbara Benedict | Physician Assistant | 1151 E 3900 S, Suite B150, Salt Lake City, UT 84124-1216 | 2008-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
| 1568697514 | Safdar Abbas Ansari | Psychiatry & Neurology | 175 N Medical Dr E Rm 3130, University of Utah, Clinical Neuroscience Center, Salt Lake City, UT 84132-0001 | 2009-05-20 |
| 1427235001 | Kevin Alan Walker | Psychiatry & Neurology | 440 D St Ste 200, Salt Lake City, UT 84103-2827 | 2008-01-26 |
| 1144376831 | Pegah Afra | Psychiatry & Neurology | Department of Neurology 175 North Medical, Salt Lake City, UT 84132-0001 | 2007-01-26 |
| 1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
| 1831271352 | Sharon Mae Weinstein | Psychiatry & Neurology | Veterans Affairs Slchcs, 500 Foothill Blvd - 112, Salt Lake City, UT 84148-0001 | 2006-10-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
Please comment or provide details below to improve the information on WESTERN NEUROLOGICAL ASSOCIATES INC.
| 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.