DR. AARON EUGENE FRODSHAM (NPI# 1184807208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184807208 |
| Entity Type | Individual |
| Full Name | DR. AARON EUGENE FRODSHAM |
| Credential | M.D. |
| Practice Address |
4624 S Holladay Blvd Suite 202 Salt Lake City UT 84117-7054 |
| Practice Telephone | 8018102999 |
| Practice Fax Number | 8014070747 |
| Mailing Telephone | 8018102999 |
| Mailing Fax Number | 8014070747 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
309974-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
309974-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | STERLING HEALTH PLANS | 862620 | 01 |
| UT | DMBA | 1104759 | 01 |
| UT | SELECTHEALTH | 107100028101 | 01 |
| UT | BCBSU | 10000002852001 | 01 |
| UT | RAILROAD MEDICARE | P00953836 | 01 |
| UT | EDUCATORS MUTUAL | 1184807208 | 01 |
| UT | 1184807208 | 05 | |
| UT | PEHP | 129993 | 01 |
| Street Address |
4624 S HOLLADAY BLVD SUITE 202 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84117-7054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063951986 | Zachary Bass | Pharmacy Technician | 4624 S Holladay Blvd, Ste101, Salt Lake City, UT 84117-7054 | 2017-02-13 |
| 1629454772 | Meds In Motion | Pharmacy | 4624 S Holladay Blvd, Suite 101, Salt Lake City, UT 84117-7054 | 2015-07-30 |
| 1982867008 | Katherine Ward Munt | Family Medicine | 4624 S Holladay Blvd, Salt Lake City, UT 84117-7054 | 2008-07-09 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558905398 | Wasatch Vascular Center LLC | Radiology | 3702 S State St Ste 103, Salt Lake City, UT 84115-5096 | 2019-11-05 |
| 1568965697 | Comprehensive Interventional Care Centers, Pllc | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-03-15 |
| 1356630073 | Claire Kaufman | Radiology | Medical Center 30 N 1900 E, Salt Lake City, UT 84132-0001 | 2011-04-04 |
| 1821154121 | Ryan Gene O'hara | Radiology | University of Utah Dept of Radiology, 30n. 1900e #1a071, Salt Lake City, UT 84132-6100 | 2006-12-29 |
| 1386731339 | Franklin J. Miller Jr. | Radiology | Dept Radiology University of Utah 50 N Medical Drive, 1a71, Salt Lake City, UT 84132-0001 | 2006-10-09 |
| 1972078723 | Physician Medical Group | Radiology | 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 | 2018-10-08 |
| 1104361591 | Genesis Vascular of Salt Lake | Radiology | 6321 S Redwood Rd, Suite 102, Salt Lake City, UT 84123-6798 | 2016-12-21 |
| 1457755258 | University of Utah Adult Services | Radiology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1184044190 | Kevin Maxwell | Radiology | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2014-04-17 |
| 1316203797 | Jared Randall Garrett | Radiology | 30 N 1900 E Rm 1a071, Salt Lake City, UT 84132-0002 | 2012-04-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84117 |
Please comment or provide details below to improve the information on DR. AARON EUGENE FRODSHAM.
| 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.