DR. KELLY PATRICK MURNIN (NPI# 1164512778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164512778 |
| Entity Type | Individual |
| Full Name | DR. KELLY PATRICK MURNIN |
| Credential | MD |
| Practice Address |
1525 W 2100 S Salt Lake City UT 84119-1401 |
| Mailing Address |
Po Box 510708 Salt Lake City UT 84151-0708 |
| Practice Telephone | 8018872400 |
| Mailing Telephone | 8012133900 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2014-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 174756-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | RAILROAD MEDICARE | 110170925 | 01 |
| Street Address |
1525 W 2100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84119-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285624197 | Leslie Anne Gregersen | Pharmacist | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2005-10-24 |
| 1174184758 | Cara Wolf | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2019-06-25 |
| 1891272845 | Megan Whitlock | Social Worker | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2018-07-23 |
| 1942718473 | Kristi Leavitt Nichols | Midwife | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2018-01-18 |
| 1639697931 | Gilbert Gaertner IIi | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-09-07 |
| 1528589579 | Rebecca Kline Burt | Family Medicine | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-06-29 |
| 1861932576 | Brooke Diane Mariger Paulsen | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-02-28 |
| 1356889703 | Ghaida Al-barzinji | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2017-02-06 |
| 1184077075 | Bobbi Heaney | Nurse Practitioner | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2016-07-15 |
| 1700234655 | Caroline Berry Carlson | Physician Assistant | 1525 W 2100 S, Salt Lake City, UT 84119-1407 | 2016-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981932 | Arches Home Care, Inc. | Non-emergency Medical Transport (VAN) | 1385 W 2200 S Ste 203, West Valley City, UT 84119 | 2019-03-19 |
| 1629591003 | Exemplar Healthcare, Inc. | Hospice Care, Community Based | 1385 W 2200 S Ste 202, West Valley City, UT 84119 | 2017-07-18 |
| 1619358496 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2875 S Decker Lake Dr Ste 180, West Valley City, UT 84119 | 2015-06-17 |
| 1821407735 | Nathan William Stobbe | Dentist | 3280 W. 3500 S. Ste 3, West Valley, UT 84119 | 2014-08-05 |
| 1801209028 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3148 W 3500 S, West Valley City, UT 84119 | 2014-06-05 |
| 1215347935 | Karl Edward Jennings | Social Worker | 3901 S David Pl, West Valley City, UT 84119 | 2014-05-02 |
| 1750624672 | Shannon Quinn Dunlop | Registered Nurse | 2621 S 3270 W, West Valley City, UT 84119 | 2013-03-28 |
| 1215273529 | Holly H Tanski | Counselor | 5770 S. 1500 W. Bld A, Ihc Wasatch Canyons Campus, Salt Lake City, UT 84119 | 2012-12-14 |
| 1982955860 | Oquirrh Meadows Care and Rehab, Inc | Assisted Living Facility | 2948 So. Redwood Road, West Valley City, UT 84119 | 2012-10-02 |
| 1518235068 | Asjad Kaleem Mohammed | Pharmacist | 2290 S Redwood Road, Olive Pharmacy, Salt Lake City, UT 84119 | 2011-12-12 |
| Find all providers in zip 84119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84119 |
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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.