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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | MEDICARE | 000059100 | 01 |
UT | 870281028000 | 05 |
Street Address |
555 W SR 164 |
City | SALEM |
State | UT |
Zip Code | 84653-1666 |
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 |
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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 |
Find all providers in zip 84653 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
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. |
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 |
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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.