LYLE BEYER MASON


Address: 1708 Stone Ridge Cir, Bountiful, UT 84010-1033
Phone: 8012957604

LYLE BEYER MASON (NPI# 1104027234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104027234
Entity Type Individual
Full Name LYLE BEYER MASON
Credential M.D.
Practice Address 1708 Stone Ridge Cir
Bountiful
UT 84010-1033
Practice Telephone 8012957604
Practice Fax Number 8012957604
Mailing Telephone 8012957604
Mailing Fax Number 8012957604
Enumeration Date 2007-05-29
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XP3100X Orthopaedic Surgery
Specialization: Pediatric Orthopaedic Surgery
162465-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 1708 STONE RIDGE CIR
City BOUNTIFUL
State UT
Zip Code 84010-1033

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1225699192 Jessyca K Willie Behavior Technician 415 S. Medical Drive Suite D101, Bountiful, UT 84010 2019-06-21
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1902328842 Hailey Embley Behavior Technician 415 Medical Drive D 101, Bountiful, UT 84010 2017-07-12
1508318031 Beverly Nielsen Psychologist 1001 Lakeview Drive, Bountiful, UT 84010 2016-11-01
1295287720 Samantha Oslund Speech-Language Pathologist 415 Medical Dr Ste B102, Bountiful, UT 84010 2016-11-01
1750748273 Jeremy Clark Morris Dentist 59 W 1600 N, Suite 110, Bountiful, UT 84010 2016-01-28
1629464706 Shane James Speech-Language Pathologist 425 Medical Dr Ste 122, Bountiful, UT 84010 2015-04-15
1891186102 Kenton Francis Social Worker 1355 North Main Street #1, Bountiful, UT 84010 2015-02-09
1205233855 Modern Dental Professionals - Utah, PC Dentist 24 S. 500 West, #a, Bountiful, UT 84010 2014-11-25
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Taxonomy Information

Taxonomy Code 207XP3100X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Pediatric Orthopaedic Surgery

Taxonomy Definition

An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982141008 Douglas Kehl Orthopaedic Surgery 825 W South Links Dr, Washington, UT 84780-8524 2017-01-26
1528115763 David L Mccann Orthopaedic Surgery 4190 Highland Drive, Suite 102, Salt Lake City, UT 84124-2600 2007-01-03
1386257152 University of Utah Pediatric Services Orthopaedic Surgery 9385 S Snowbird Center Dr, Sandy, UT 84092-6249 2020-08-31
1689228298 Meaghan Marien Orthopaedic Surgery 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2019-07-31
1750709242 Abby Mccain Howenstein Orthopaedic Surgery 590 S Wakara Way, Salt Lake City, UT 84108-1200 2014-04-01
1396187282 Shriners Hospitals for Children Orthopaedic Surgery 1275 E Fairfax Rd, Salt Lake City, UT 84103-4324 2013-07-22
1497089908 Utah Orthopaedics LLC Orthopaedic Surgery 5782 Adams Avenue Parkway, Washington Terrace, UT 84405 2009-09-30
1932385671 Suzanne M Yandow Orthopaedic Surgery 100 Mario Capecchi Dr, 4550, Salt Lake City, UT 84113-1103 2008-01-11
1699826693 Theresa Ann Hennessey Orthopaedic Surgery Shriners Hospitals for Children, Fairfax Road At Virginia Street, Salt Lake City, UT 84103-4399 2007-01-16
1154497006 James W Ogilvie Orthopaedic Surgery 1340 E. 300 N., Shriners Hospital for Children, Salt Lake City, UT 84103-4399 2006-11-24
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Competitor

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City BOUNTIFUL
Zip Code 84010

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Dataset Information

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.

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