CHAD RYAN REBO


Address: 340 E 100 S, Salt Lake City, UT 84111-1702
Phone: 8014283500

CHAD RYAN REBO (NPI# 1164856886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164856886
Entity Type Individual
Full Name CHAD RYAN REBO
Credential PA-C
Practice Address 340 E 100 S
Salt Lake City
UT 84111-1702
Mailing Address 320 E 2nd St
Libby
MT 59923-2010
Practice Telephone 8014283500
Practice Fax Number 8013222831
Mailing Telephone 4062836900
Mailing Fax Number 4062936622
Enumeration Date 2013-08-29
Last Update Date 2016-02-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 8776901-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 340 E 100 S
City SALT LAKE CITY
State UT
Zip Code 84111-1702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033143706 Odyssey House Inc. Clinic/Center 340 E 100 S, Salt Lake City, UT 84111-1702 2006-07-10
1730788084 Braden Price Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2020-10-19
1316500754 Chloe Lorraine Maddox Case Manager/Care Coordinator 340 E 100 S, Salt Lake City, UT 84111-1702 2019-04-22
1922573633 Stephanie Wheatley Nurse Practitioner 340 E 100 S, Salt Lake City, UT 84111-1836 2018-10-09
1750829743 Krista Eger Community Health Worker 340 E 100 S, Ste 301, Salt Lake City, UT 84111-1702 2017-02-09
1356612790 Myles Davis Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2012-01-17
1780960153 Robert Price Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2011-10-28
1538477187 Bradley Pedersen Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-16
1164739454 Hayley L Mcmillan Counselor 340 E 100 S, Salt Lake City, UT 84111-1702 2010-09-08
1588985238 Odyssey House of Utah Substance Abuse Rehabilitation Facility 340 E 100 S, Salt Lake City, UT 84111-1702 2010-06-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316551336 Mary Ann Rush Case Manager/Care Coordinator 334 E. 100 S., Slc, UT 84111 2020-09-08
1790396554 Stephanie G Mishenko Military Health Care Provider 344e 100s, Slc, UT 84111 2020-08-13
1386264802 Mckensee M Carter Case Manager/Care Coordinator 334 E 100 S, Salt Lake City, UT 84111 2020-04-24
1316421761 Community Health Centers, Inc. Social Worker 610 S 200 E Ste #b, Salt Lake City, UT 84111 2018-09-21
1528545506 Lauren Brittney Harman Case Manager/Care Coordinator 344 E. 100 S., Salt Lake City, UT 84111 2018-07-23
1851896484 Shivani Chowdhary Dentist 370 E South Temple Ste 350, Salt Lake City, UT 84111 2018-03-26
1801390661 Jaylee Marie Watman Case Manager/Care Coordinator 344 E. 100 S. Ste 301, Salt Lake City, UT 84111 2018-03-19
1467963918 Victoira Julia Graham Case Management 344 East 100 South Ste 301, Salt Lake City, UT 84111 2017-10-23
1750805404 Kayla Hymas Behavioral Analyst 243 E. 400 S., Slc, UT 84111 2017-08-02
1134643224 Julie Peaslee Counselor 275 E South Temple Ste 110, Salt Lake City, UT 84111 2017-07-31
Find all providers in zip 84111

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556986 Brittany Tran Physician Assistant 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 2020-10-25
1528674975 James Christopher Nichols Physician Assistant 1746 E 2100 S, Salt Lake City, UT 84106-4165 2020-09-21
1841826971 David Souza Physician Assistant 52 N Medical Dr, Salt Lake City, UT 84132-0001 2020-03-20
1134751902 Jacie Anna Mundahl Physician Assistant 8th Ave C St E 80, Salt Lake City, UT 84143-0001 2020-02-10
1336770544 Kelsey Rae Thompson Physician Assistant 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 2020-01-28
1245885458 Adam Douglas Whitney Physician Assistant 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 2019-08-05
1306498654 Jarred J Entringer Physician Assistant 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 2019-07-16
1588216840 Christina Thomas Physician Assistant 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 2019-07-16
1770135022 Evar Saelee Physician Assistant 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 2019-07-16
1982263471 Ashley Marten Physician Assistant 3610 E Cascade Way, Salt Lake City, UT 84109-2307 2019-06-10
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84111

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Dataset Information

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.

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