MRS. MARY MENLOVE (NPI# 1144305699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144305699 |
| Entity Type | Individual |
| Full Name | MRS. MARY MENLOVE |
| Other Name | MS. MARY GARFF |
| Credential | PA-C |
| Practice Address |
6095 Fashion Blvd Murray UT 84107-7397 |
| Mailing Address |
Po Box 3208 Salt Lake City UT 84110-3208 |
| Practice Telephone | 8015812955 |
| Mailing Telephone | 8015876340 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 54164451206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
54164451206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6095 FASHION BLVD |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906330 | Charles Mitchell Rogers | Allergy & Immunology | 6095 Fashion Blvd, Suite# 100, Murray, UT 84107-7397 | 2005-07-18 |
| 1821382342 | Neibaur Family Orthodontics LLC | Dentist | 6095 Fashion Blvd, Ste 210, Murray, UT 84107-7397 | 2011-06-01 |
| 1376708669 | James R.m. Pearce M.d., LLC | Clinic/Center | 6095 Fashion Blvd, Suite 240, Murray, UT 84107-7397 | 2008-07-25 |
| 1417177197 | Fashion Place Dental PC | Dentist | 6095 Fashion Blvd, Suite 3290, Murray, UT 84107-7397 | 2007-04-26 |
| 1013072248 | David Brent Rowell | Dentist | 6095 Fashion Blvd, Suite 200, Murray, UT 84107-7397 | 2006-12-27 |
| 1386750263 | Precision Eye Care Pllc | Eyewear Supplier (Equipment, not the service) | 6095 Fashion Blvd, Suite 110, Murray, UT 84107-7397 | 2006-08-22 |
| 1700890035 | Lynn Andrew Birrell | Physician Assistant | 6095 Fashion Blvd, Suite 250, Murray, UT 84107-7397 | 2006-07-29 |
| 1750342564 | Stuart I Anderson | Optometrist | 6095 Fashion Blvd, Suite 110, Murray, UT 84107-7397 | 2006-03-31 |
| 1770551723 | Thomas Cooley Sorensen | Dentist | 6095 Fashion Blvd, Suite 220, Murray, UT 84107-7397 | 2006-03-08 |
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770929036 | Hayley Dawn Kemp | Physician Assistant | 5121 Cottonwood Street, Trauma Services, Murray, UT 84121-7552 | 2013-05-14 |
| 1669669388 | Theresa K Kulikowski | Physician Assistant | 5323 S Woodrow Street, Suite 200, Murray, UT 84107-5841 | 2007-09-26 |
| 1982739199 | Richard Jonathan Greene | Physician Assistant | 300 S 8th St Ste 374w, Murray, KY 42071-2446 | 2007-02-21 |
| 1174617773 | Meghan Lynn Smith | Physician Assistant | 5323 South Woodrow St., Sutie #102, Murray, UT 84107 | 2006-10-03 |
| 1306939350 | Kristin Gale Goeller | Physician Assistant | 5770 S 250 E Ste 415, Murray, UT 84107 | 2006-10-02 |
| 1932674413 | Hannah Stark | Physician Assistant | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2018-10-10 |
| 1063992022 | Fernando Rivero | Physician Assistant | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2018-08-20 |
| 1578096897 | Kelsey Gaid | Physician Assistant | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2017-04-04 |
| 1407398639 | Laura Elise Juarez | Physician Assistant | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-11-04 |
| 1144778192 | Kelli Jean Moylan | Physician Assistant | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2016-09-20 |
| Find all providers in MURRAY | ||||
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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.