SCOTT LYLES PROVOST (NPI# 1194843052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194843052 |
| Entity Type | Individual |
| Full Name | SCOTT LYLES PROVOST |
| Credential | MD |
| Practice Address |
5121 S Cottonwood Street Intermountain Medical Center Murray UT 84157 |
| Mailing Address |
3340 North Center St #800 Lehi UT 84043-7406 |
| Practice Telephone | 8015075248 |
| Practice Fax Number | 8015814367 |
| Mailing Telephone | 8019901911 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 5210810-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 5210810-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546611 | Scott Provost | Social Worker | 60 Jodie Rd, Framingham, MA 01702-6147 | 2018-08-01 |
| Street Address |
5121 S COTTONWOOD STREET INTERMOUNTAIN MEDICAL CENTER |
| City | MURRAY |
| State | UT |
| Zip Code | 84157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215996939 | Eric W Flach | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2006-03-21 |
| 1649625419 | Jeffrey R Skanchy | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2016-04-29 |
| 1104203959 | Joshua C Peterson | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2015-04-30 |
| 1164849527 | Keith B Warner | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2014-03-24 |
| 1538310461 | John Lewis Summers | Anesthesiology | 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | 2008-10-09 |
| 1881843670 | Mickel Blake Sharp | Anesthesiology | 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | 2008-09-16 |
| 1679759278 | Deanne R Williams | Advanced Practice Midwife | 5121 S Cottonwood Street, Murray, UT 84157-7000 | 2008-01-14 |
| 1659554301 | Jason John Poulsen | Anesthesiology | 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | 2007-12-17 |
| 1518156363 | Ihc Health Services Inc | Hospitalist | 5121 S Cottonwood Street, Murray, UT 84157 | 2007-10-17 |
| 1376739193 | Gregory Randy Rich | Anesthesiology | 5121 S Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | 2007-09-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1144415282 | Corwin Q Edwards | Internal Medicine | 5121 S Cottonwood Dr, Salt Lake City, UT 84157 | 2007-09-12 |
| 1891819843 | Warren Lewis Butterfield | Orthopaedic Surgery | 5169 South Cottonwood Street, Suite 430, Murray, UT 84157 | 2007-03-16 |
| 1033211776 | Ida Ripley | Advanced Practice Midwife | 5161 S Cottonwood St, Ste 130, Murray, UT 84157 | 2006-09-02 |
| 1245262229 | Elizabeth Demos Nicholson | Emergency Medicine | 5121 S. Cottonwood Street, Salt Lake City, UT 84157 | 2006-07-07 |
| 1154313690 | Steven M Scott | Orthopaedic Surgery | 5169 S Cottonwood St, Ste 430, Slc, UT 84157 | 2005-08-19 |
| 1619341278 | James Bokinskie II | Physical Therapist | 5121 Cottonwood Street, Murray, UT 84157 | 2015-11-19 |
| 1083917355 | John Dudley Duross | Physician Assistant | 5121 South Cottonwood Street, Murray, UT 84157 | 2010-12-08 |
| 1942501168 | John Miller | Physical Therapy Assistant | 5121 Cottonwood St, Murray, UT 84157 | 2010-11-04 |
| Find all providers in zip 84157 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172495 | Kendell Ryan Klingler | Anesthesiology | 778 E Briarmeadow Ave, Murray, UT 84107-7704 | 2012-04-10 |
| 1841491529 | Katrina Lewis | Anesthesiology | 5250 S 320 W, Suite 305, Murray, UT 84107-7926 | 2007-05-30 |
| 1245258342 | Mark Scott Huff | Anesthesiology | 5450 S Green St Ste B, Murray, UT 84123-5632 | 2006-07-17 |
| 1215996939 | Eric W Flach | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2006-03-21 |
| 1144838004 | Anesthesiology Associates of Utah LLC | Anesthesiology | 5450 S Green St Ste B, Murray, UT 84123-5632 | 2020-07-16 |
| 1245773399 | Surgery Center Anesthesia, LLC | Anesthesiology | 5801 S Fashion Blvd, Suite 190, Murray, UT 84107-6159 | 2016-11-21 |
| 1649625419 | Jeffrey R Skanchy | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2016-04-29 |
| 1104203959 | Joshua C Peterson | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2015-04-30 |
| 1669899720 | Lucus Dean Shelton | Anesthesiology | 5121 S Cottonwood St, Murray, UT 84107 | 2014-03-26 |
| 1164849527 | Keith B Warner | Anesthesiology | 5121 S Cottonwood Street, Murray, UT 84107-5701 | 2014-03-24 |
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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.