INTERMOUNTAIN EPILEPSY & SLEEP CENTER, INC (NPI# 1184923278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184923278 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN EPILEPSY & SLEEP CENTER, INC |
| Other Organization Name | MAYA THOMAS |
| Practice Address |
5323 Woodrow St. Suite 203 Murray UT 84107-5851 |
| Practice Telephone | 8012665559 |
| Practice Fax Number | 8012665569 |
| Mailing Telephone | 8012665559 |
| Mailing Fax Number | 8012665569 |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-07-15 |
| Authorized Official Name | MAYA THOMAS (NEUROLOGIST) |
| Authorized Official Telephone | 8012665559 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
323269-1205 | UT | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| MAYA THOMAS | Doing Business As Name - Organization |
| Street Address |
5323 WOODROW ST. SUITE 203 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160097 | Axon Neuromonitoring | Specialist/Technologist, Other | 10193 S Millbury Way, Sandy, UT 84092-3823 | 2019-12-10 |
| 1811354939 | Ryan Merrill | Specialist/Technologist, Other | 993 S Suncrest Cir, Kaysville, UT 84037-9434 | 2016-01-20 |
| 1427433242 | Matthew Robins | Specialist/Technologist, Other | 1960 E 1425 N, Layton, UT 84040-8204 | 2015-07-22 |
| 1124250592 | Western States Medical LLC | Specialist/Technologist, Other | 448 E 5350 S Ste B, Washington Terrace, UT 84405-5415 | 2009-08-18 |
| 1356350987 | Dallas Kent Ward | Specialist/Technologist, Other | 294 S 850 E, Kaysville, UT 84037-2220 | 2006-08-05 |
| 1447713888 | Axon Iom LLC | Specialist/Technologist, Other | 294 S 850 E, Kaysville, UT 84037-2220 | 2019-04-11 |
| 1396256293 | Craniom | Specialist/Technologist, Other | 1490 E Foremaster Dr, St George, UT 84790-4488 | 2017-10-18 |
| 1831573484 | Elsha Cachet Russell | Specialist/Technologist, Other | 448 E 5350 S, Suite B, Washington Terrace, UT 84405-5414 | 2015-07-14 |
| 1154631505 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 8541 S Redwood Rd, Ste A1, West Jordan, UT 84088-9327 | 2010-10-19 |
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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.