LUKE DEVON MAESE (NPI# 1154553469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154553469 |
Entity Type | Individual |
Full Name | LUKE DEVON MAESE |
Credential | D.O. |
Practice Address |
2000 Circle of Hope Dr Salt Lake City UT 84112-5550 |
Mailing Address |
127 S 500 E Ste 600 Salt Lake City UT 84102-1971 |
Practice Telephone | 8015874745 |
Mailing Telephone | 8015876336 |
Enumeration Date | 2009-08-20 |
Last Update Date | 2015-06-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
8262639-1204 | UT | Allopathic & Osteopathic Physicians |
Street Address |
2000 CIRCLE OF HOPE DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84112-5550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699775767 | Sunil Sharma | Internal Medicine | 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 | 2005-07-29 |
1124638812 | Youngbeen Jeon Shamo | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2020-08-06 |
1760091359 | Samantha Jean Powell | Social Worker | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2020-07-29 |
1760035174 | Nidhi Sharma | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-07-24 |
1356901003 | Cassie Kuhn | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-06-15 |
1134788623 | Ambreen Khan | Genetic Counselor, MS | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-06-10 |
1558920835 | Jace Dakota Johnny | Nurse Practitioner | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2019-06-10 |
1548738826 | Yelena Ping Wu | Psychologist | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-11-05 |
1902380058 | Emily Catherine Armstrong | Physician Assistant | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-09-24 |
1467934398 | Alexandra Suzanne Locke | Physician Assistant | 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 | 2018-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
Find all providers in zip 84112 |
Taxonomy Code | 2080P0207X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Hematology-Oncology |
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1598297178 | Elaine M. Fan | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2017-04-01 |
1427503770 | Batool El-atoum | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-08-16 |
1467803726 | Michell Marola Lozano Chinga | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-06-28 |
1104280684 | University of Utah Pediatric Services | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
1821315268 | Nicholas Whipple | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2010-04-26 |
1689906356 | Ahmad Rayes | Pediatrics | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2010-02-05 |
1235385832 | Holly Lynn Spraker-perlman | Pediatrics | 100 Mario Capecchi Dr, 4th Floor Oncology Suite, Salt Lake City, UT 84113-1103 | 2008-08-14 |
1871703140 | Jennifer Wright | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-05-23 |
1972723286 | Mark Nathaniel Fluchel | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-04-27 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84112 |
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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.