WENDELL TODD SHRUM (NPI# 1174932966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174932966 |
Entity Type | Individual |
Full Name | WENDELL TODD SHRUM |
Credential | RN |
Practice Address |
1360 E 5360 S Murray UT 84117-7361 |
Practice Telephone | 2053056251 |
Mailing Telephone | 2053056251 |
Enumeration Date | 2014-08-06 |
Last Update Date | 2014-08-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
6949270-3102 | UT | Hospitals |
Street Address |
1360 E 5360 S |
City | MURRAY |
State | UT |
Zip Code | 84117-7361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
Find all providers in zip 84117 |
Taxonomy Code | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831491430 | Ihc Health Services Inc | General Acute Care Hospital | 5300 South State Street, Murray, UT 84107 | 2010-12-02 |
1649572793 | Jeffrey Scott Dodd | General Acute Care Hospital | 5121 Cottonwood St, Murray, UT 84107-5701 | 2010-11-23 |
1922300078 | Aric Leon Ketcham | General Acute Care Hospital | 5121 Cottonwood St, Murray, UT 84107-5701 | 2010-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174979108 | Beaver Valley Hospital | General Acute Care Hospital | 1109 N. 100 W., Beaver, UT 84713-1670 | 2016-05-09 |
1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
1942332465 | Intermountain Healthcare | General Acute Care Hospital | 4401 S Harrison Blvd, Mckay-dee, Ogden, UT 84403 | 2007-03-10 |
1952463036 | Gunnison Valley Hospital | General Acute Care Hospital | 64 East 100 North, Gunnison, UT 84634 | 2006-12-14 |
1033538731 | Blue Mountain Hospital Dialysis | General Acute Care Hospital | 802 S 200 W, Suite A, Blanding, UT 84511-3910 | 2014-04-09 |
1316277635 | University of Utah | General Acute Care Hospital | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-01-08 |
1740519370 | Kane County Human Resource Special Service District | General Acute Care Hospital | 355 N Main St, Kanab, UT 84741-3260 | 2009-12-10 |
1881658110 | Central Valley Medical Center | General Acute Care Hospital | 48 W 1500 N, Nephi, UT 84648-8900 | 2006-04-13 |
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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.