CHRISTOPHER VAN TERRY (NPI# 1104271154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104271154 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER VAN TERRY |
| Credential | PA-C |
| Practice Address |
3590 W 9000 S Suite 240 West Jordan UT 84088-8857 |
| Practice Telephone | 8015055370 |
| Mailing Telephone | 8015055370 |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9712155-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881006518 | Christopher Terry | Internal Medicine | 925 Chestnut St Ste 230, Philadelphia, PA 19107-4215 | 2014-05-29 |
| 1922168871 | Christopher Lee Terry | Chiropractor | 4602 North Armenia Ave, Building D-3, Tampa, FL 33603 | 2006-12-11 |
| 1881046787 | Christopher Terry | Pharmacist | 726 Melrose Ave, Nashville, TN 37211-2151 | 2016-07-05 |
| 1033528989 | Christopher Terry | Behavioral Analyst | 3435 W Craig Rd, North Las Vegas, NV 89032-5115 | 2014-08-05 |
| 1134350226 | Christopher Robert Terry | Military Health Care Provider | 2446 Trident Way, Coranado, CA 92155 | 2009-08-06 |
| 1679708093 | Christopher Terry | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Dept of Anesthesiology, Chapel Hill, NC 27514-4220 | 2009-05-29 |
| Street Address |
3590 W 9000 S SUITE 240 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508881707 | Andrew A Miller | Specialist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2006-07-12 |
| 1811351505 | Advanced Clinical Research, Inc. | Clinic/Center | 3590 W 9000 S, Suite 300, West Jordan, UT 84088-8857 | 2016-04-08 |
| 1831576669 | Paul Curtis Goff | Nurse Practitioner | 3590 W 9000 S, 105, West Jordan, UT 84088-8857 | 2015-04-30 |
| 1922400696 | Laura Blevins | Occupational Therapist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2014-09-24 |
| 1487056438 | Cheryl Woodard | Occupational Therapist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2014-09-22 |
| 1437492923 | Advanced Clinical Research, Inc. | Clinical Medical Laboratory | 3590 W 9000 S, Suite 300, West Jordan, UT 84088-8857 | 2013-04-03 |
| 1942512751 | Andrew Davis Moffat | Family Medicine | 3590 W 9000 S, Suite 105, West Jordan, UT 84088-8857 | 2010-07-09 |
| 1972707107 | Angela H. Call | Physical Therapist | 3590 W 9000 S, Suite 200, West Jordan, UT 84088-8857 | 2007-06-12 |
| 1831261304 | David Hunter Matthews | Internal Medicine | 3590 W 9000 S, Suite 240, West Jordan, UT 84088-8857 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588204705 | Cherokee Cricket Carrillo | Physician Assistant | 8605 S Shulsen Ln, West Jordan, UT 84088-9307 | 2020-01-15 |
| 1235787870 | Altium Health LLC | Physician Assistant | 7613 S Jordan Landing Blvd Ste 200, West Jordan, UT 84084-1973 | 2019-08-27 |
| 1063974111 | Amelia Allmark | Physician Assistant | 3592 W 9000 S Ste 200, West Jordan, UT 84088-8819 | 2019-04-05 |
| 1528533775 | Karen Bohn | Physician Assistant | 3590 W 9000 S Ste 120, West Jordan, UT 84088-8858 | 2018-10-03 |
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1649380049 | Benjamin W Blackburn | Physician Assistant | 8849 S Redwood Rd, Ste E-121, West Jordan, UT 84088-5619 | 2006-08-30 |
| 1396757241 | Jared P Spackman | Physician Assistant | 8822 South Redwood Road, C-211, West Jordan, UT 84088-8811 | 2006-08-12 |
| 1053327312 | Janis K Cline | Physician Assistant | 3584 W. 9000 S., Suite 311, West Jordan, UT 84088-4775 | 2006-07-31 |
| 1629038716 | Duane A Bates | Physician Assistant | 8822 S Redwood Rd, Suite E122, West Jordan, UT 84088-9336 | 2006-03-24 |
| 1629077870 | Corey L Newman | Physician Assistant | 7611 S Jordan Landing Blvd, Suite 200, West Jordan, UT 84084-5610 | 2005-07-19 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on CHRISTOPHER VAN TERRY.
| 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.