BRUCE R. KENWOOD (NPI# 1144279019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144279019 |
| Entity Type | Individual |
| Full Name | BRUCE R. KENWOOD |
| Credential | DO |
| Practice Address |
5979 Fashion Blvd Murray UT 84107-7364 |
| Practice Telephone | 8012632370 |
| Practice Fax Number | 8012651200 |
| Mailing Telephone | 8012632370 |
| Mailing Fax Number | 8012651200 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2010-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
6213815-1204 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
6213815-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5979 FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273844 | Gary P. Symkoviak | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-22 |
| 1932368925 | Jared Maurice Simpson | Physician Assistant | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2008-06-04 |
| 1972713568 | Adam Mohsin Elhaddi | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2007-05-23 |
| 1912087826 | William Marcus Brann | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2006-10-16 |
| 1013954411 | Heart and Lung Institute of Utah Inc | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2006-06-02 |
| 1750365193 | John A. Mchenry | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-30 |
| 1497738074 | Bard R. Madsen | Internal Medicine | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-28 |
| 1508849191 | Konstantyn Y. Szwajkun | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-28 |
| 1316920903 | George K. Wong | Specialist | 5979 Fashion Blvd, Murray, UT 84107-7364 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390316 | American Heart and Vascular Institute PC | Internal Medicine | 5801 S Fashion Blvd Ste 120, Murray, UT 84107-8115 | 2019-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490133 | Advanced Vein and Vascular of Northern Utah LLC | Internal Medicine | 810 S 100 W Ste 120, Logan, UT 84321-5845 | 2020-09-02 |
| 1326679952 | Advanced Vein and Vascular of Southern Utah LLC | Internal Medicine | 1251 Northfield Rd # 103, Cedar City, UT 84721-8622 | 2020-02-02 |
| 1407851488 | Tareq S Harb | Internal Medicine | 4403 Harrison Blvd Ste 3490, Ogden, UT 84403-3284 | 2005-06-16 |
| 1093329427 | Advanced Vein and Vascular of Utah Valley LLC | Internal Medicine | 320 River Park Dr Ste 125, Provo, UT 84604-6065 | 2020-09-02 |
| 1386272755 | Advanced Vein and Vascular of Salt Lake City LLC | Internal Medicine | 6321 S Redwood Rd Ste 102, Salt Lake City, UT 84123-6799 | 2020-03-31 |
| 1114361136 | Lee Anthony Linstroth | Internal Medicine | 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0002 | 2013-04-21 |
| 1437446168 | Mountainstar Cardiology St Marks LLC | Internal Medicine | 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 | 2011-07-01 |
| 1417283359 | Canyon Crest Heart & Health L.L.C. | Internal Medicine | 11762 S State St, Draper, UT 84020-7155 | 2009-10-28 |
| 1770720534 | Zubair Cardiovascular Inc | Internal Medicine | 82 South 1100 East, Suite 402, Salt Lake City, UT 84102 | 2009-01-15 |
| 1629221841 | Eric M Lindley | Internal Medicine | University of Utah, Salt Lake City, UT 84132-0001 | 2008-10-31 |
| Find all providers with the same taxonomy | ||||
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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.