MR. ENOCH DANIEL CHRISTOPHERSON (NPI# 1093971863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093971863 |
Entity Type | Individual |
Full Name | MR. ENOCH DANIEL CHRISTOPHERSON |
Credential | PA-C |
Practice Address |
26 N 1900 E Wintrobe 701 Salt Lake City UT 84132-0002 |
Practice Telephone | 8015817926 |
Mailing Telephone | 8015817926 |
Enumeration Date | 2008-07-31 |
Last Update Date | 2008-07-31 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
377932-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
26 N 1900 E WINTROBE 701 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84132-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508962176 | Chakravarthy B Reddy | Internal Medicine | 26 N 1900 E, 701, Wintrobe Building, Salt Lake City, UT 84132-0002 | 2006-09-14 |
1750730743 | Kathryn W Hendrickson | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-06-09 |
1194171942 | Sarah Elizabeth Stern | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-05-11 |
1841651742 | Brittany Mary Scarpato | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2016-03-19 |
1770973489 | Brian Poole | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2015-02-02 |
1730596925 | Jaskaran S. Sethi | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2014-07-19 |
1568751519 | Ian Mecham | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2011-03-30 |
1831404136 | Akshu Balwan | Internal Medicine | 26 N 1900 E, Salt Lake City, UT 84132-0002 | 2010-08-11 |
1619121019 | Sanjeev Murthi Raman | Internal Medicine | 26 N 1900 E, #701 Wintrobe, Salt Lake City, UT 84132-0002 | 2008-11-12 |
1992969786 | University of Utah Hospital | General Acute Care Hospital | 26 N 1900 E, Cystic Fibrosis Center, Salt Lake City, UT 84132-0002 | 2008-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
Find all providers in zip 84132 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134748080 | Shannon Dhungel | Physician Assistant | 82 S 1100 E Ste 402, Salt Lake City, UT 84102-1892 | 2020-04-10 |
1528533825 | Ryan Mclean Walsh | Physician Assistant | 1454 University Vlg, Salt Lake City, UT 84108-3518 | 2018-10-12 |
1033627351 | Linda Richards Lewis | Physician Assistant | 30 N. 1900 E, Som 5r218, Salt Lake City, UT 84132-0002 | 2018-01-22 |
1972036242 | Jace Meng | Physician Assistant | 30 N 1900 E Rm 5r218, Salt Lake City, UT 84132-0002 | 2017-04-04 |
1710372784 | Sarah Beth Wills | Physician Assistant | 500 Foot Drive, Salt Lake City, UT 84148-4004 | 2015-04-06 |
1821323742 | Sara Diane Feltz | Physician Assistant | 615 Arapeen Drive, Suite 100, Salt Lake City, UT 84108 | 2009-10-09 |
1457597809 | Wesley Messer Norwood | Physician Assistant | 150 S 1000 E Ste 200, Salt Lake City, UT 84102-1496 | 2009-01-06 |
1235146937 | Kara Alexander-agresta | Physician Assistant | 3838 S 700 E Utah Cancer Specialist-cancer Ctr, Suite 100, Salt Lake City, UT 84106 | 2006-08-02 |
1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
1912515230 | Lesly Pineda | Physician Assistant | 4460 S Highland Dr Ste 210, Salt Lake City, UT 84124-3550 | 2020-07-22 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84132 |
Please comment or provide details below to improve the information on MR. ENOCH DANIEL CHRISTOPHERSON.
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.