TALA'AT AL-SHUQAIRAT


Address: 555 W Sr 164, Salem, UT 84653-1666
Phone: 8014654813

TALA'AT AL-SHUQAIRAT (NPI# 1104875574) 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) 1104875574
Entity Type Individual
Full Name TALA'AT AL-SHUQAIRAT
Credential MD
Practice Address 555 W Sr 164
Salem
UT 84653-1666
Mailing Address 1055 N 500 W
Attn: Credentialing
Provo
UT 84604-3305
Practice Telephone 8014654813
Practice Fax Number 8018125433
Mailing Telephone 8013548225
Mailing Fax Number 8014180941
Enumeration Date 2006-05-10
Last Update Date 2020-02-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
60083151205 UT Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
60083151205 UT Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
60083151205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT MEDICARE 000059100 01
UT 870281028000 05

Office Location

Street Address 555 W SR 164
City SALEM
State UT
Zip Code 84653-1666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598235798 Jonathan Rudy Brown Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-11-29
1417430497 Whitney Mccoy Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-09-14
1467955526 Tye Frank Johnson Physician Assistant 555 W Sr 164, Salem, UT 84653 2018-03-15
1861912693 Sarah Larsen Physical Therapist 555 W Sr 164, Salem, UT 84653 2017-06-22
1265882070 Jonathan D Nelson Physician Assistant 555 W Sr 164, Salem, UT 84653 2016-06-13
1528426988 Alex S Moore Physical Therapist 555 W Sr 164, Salem, UT 84653 2016-02-01
1205224276 Shawn Stephen Hill Physician Assistant 555 W Sr 164, Salem, UT 84653-1635 2014-12-29
1528461019 Lindsey Kenz Seaver Physician Assistant 555 W Sr 164, Salem, UT 84653-1635 2014-09-29
1073930020 Seth James Coynor Pediatrics 555 W Sr 164, Salem, UT 84653 2014-03-27
1689003550 Central Utah Clinic, P.C. Clinic/Center 555 W Sr 164, Salem, UT 84653 2013-11-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487008603 Douglas Robert Clark Optometrist 446 N State Road 198, Salem, UT 84653 2016-04-14
1811357791 Melanie Pace Dental Hygienist 818 East 750 South, Salem, UT 84653 2016-03-04
1265773899 Bill Clifford Marshall Marriage & Family Therapist 405 S Maple Dr, Woodland Hills, UT 84653 2013-03-06
1013159995 Elder Assisted Living LLC Assisted Living Facility 1015 S 550 W, Salem, UT 84653 2009-03-24
1780884247 David Kent Hansen Dentist 204 East 400 North, Suite A, Salem, UT 84653 2007-07-23
1154524965 Justin Thomas Perry Dentist 40 South 200 West, Salem, UT 84653 2007-06-08
1013130947 John E Braithwaite Dentist 40 S 200 W, Salem, UT 84653 2007-04-10
1104972827 Salem City Corporation Ambulance 30 W 100 S, Salem, UT 84653 2007-01-26
1700989209 James Bryan Bonny Dentist 245 W State Hwy 198, Suite 6, Salem, UT 84653 2006-09-07
1578574570 Kids Who Count Day Training, Developmentally Disabled Services 345 N Sr 198, Salem, UT 84653 2006-08-11
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407378409 Francisco A. Mateo, M.d. Inc. Internal Medicine 2094 E State St Ste G, Salem, OH 44460-4409 2017-07-11
1871600601 James F Parosa Internal Medicine 3000 Market St Ne Ste 541, Salem, OR 97301-1835 2006-08-25
1801845524 Matthew Cheng Internal Medicine 2094 E. State St., Suite G, Salem, OH 44460-9998 2006-05-09
1306239413 Associates In Pulmonary Medicine Internal Medicine 2094 E State St, Suite G, Salem, OH 44460-4409 2015-03-13
1770921470 Yasaman Eslaamizaad Internal Medicine 801 Mission St Se, Salem, OR 97302-6217 2013-06-05
1699112599 Pulmonary & Sleep Consultants PC Internal Medicine 310 Woodstown Road, Salem, NJ 08079 2013-05-31
1912147125 Fnu Bharat Ved Prakash Internal Medicine 801 Mission St Se, Salem, OR 97302-6217 2009-02-27
1578671137 Salem Pulmonary Associates P.C. Internal Medicine 801 Mission St Se, Salem, OR 97302-6217 2006-08-25
1508974155 Kamran Firoozi Internal Medicine 801 Mission St Se, Salem, OR 97302-6217 2006-08-25
1588771323 Steven Marvel Internal Medicine 801 Mission St Se, Salem, OR 97302-6217 2006-08-25
Find all providers in SALEM

Competitor

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City SALEM
Zip Code 84653

Improve Information

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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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