DR. JENNIFER WLODARSKI (NPI# 1184915571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184915571 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER WLODARSKI |
| Credential | M.D. |
| Practice Address |
1c412 University Medical Ctr 20 North 1900 East Salt Lake City UT 84132-2155 |
| Mailing Address |
501 S Chipeta Way Salt Lake City UT 84108-1222 |
| Practice Telephone | 8015813000 |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2015-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
8438010-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | UT | Student, Health Care |
| Street Address |
1C412 UNIVERSITY MEDICAL CTR 20 NORTH 1900 EAST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-2155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902962293 | Martin Freimer | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-12-29 |
| 1386734986 | Bernard I. Grosser | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1740370378 | Robert E. Strong | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1215027834 | A. Mason Redd | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| 1811087422 | Clara Thompson Michael | Psychiatry & Neurology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962711077 | South County Psychiatric Clinic Inc | Psychiatry & Neurology | 39 Professional Way Ste 2, Payson, UT 84651-1677 | 2010-10-07 |
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.