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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 8776901-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
340 E 100 S |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84111-1702 |
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 |
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 Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
City | SALT LAKE CITY |
Zip Code | 84111 |
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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.