S DWAYNE ROBERTS MD LLC (NPI# 1194972836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194972836 |
| Entity Type | Organization |
| Organization Name | S DWAYNE ROBERTS MD LLC |
| Practice Address |
1050 E South Temple 3rd Floor Salt Lake City UT 84102-1507 |
| Mailing Address |
4010 N 1100 W Pleasant View UT 84414-1336 |
| Practice Telephone | 8015055223 |
| Mailing Telephone | 6232069238 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2009-01-13 |
| Authorized Official Name | ANGELA S BOYLE (BUSINESS MANAGER) |
| Authorized Official Telephone | 6232069238 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
2764891205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1050 E SOUTH TEMPLE 3RD FLOOR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861495160 | Medical Center Pharmacy Inc | Pharmacy | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2005-05-31 |
| 1780292672 | Emily May Peterson | Physical Therapy Assistant | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-07-17 |
| 1902439326 | Cally Lynn Orr | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-13 |
| 1043842842 | Whitney Hull Lopez | Physical Therapy Assistant | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-10 |
| 1366074049 | Lon Forsyth | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2020-02-10 |
| 1538713375 | Deanna Washburn | Dietitian, Registered | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-07-30 |
| 1609334911 | Santibanez Aguirre Slc PC | Hospitalist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-03-05 |
| 1609344373 | Kenneth Harold Hicken | Social Worker | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-11-11 |
| 1619460599 | Casey Snell | Physical Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-06-14 |
| 1104319847 | Brittney Marie Passman | Occupational Therapist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2018-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437437589 | Jeff Johnson Clawson | Emergency Medicine | 139 E South Temple, Suite 500, Salt Lake City, UT 84111-1103 | 2011-07-22 |
| 1548463508 | Michael D Dowdall | Emergency Medicine | 381 Middle Oak Ln, Salt Lake City, UT 84108-1649 | 2007-06-07 |
| 1669562419 | Emergency Physicians Integrated Care, LLC | Emergency Medicine | 2500 S State St, Salt Lake City, UT 84115-3110 | 2006-10-13 |
| 1316967888 | Peter S Lenz | Emergency Medicine | 8th Ave C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1033139589 | Kathleen C Besser | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1578598199 | Emergency Physicians Integrated Care, LLC | Emergency Medicine | 333 N 300 W, Salt Lake City, UT 84103-1215 | 2006-07-12 |
| 1467414581 | Peter P Taillac | Emergency Medicine | University of Utah Division of Emergency Medicine, 30 North 1900 East Room 1c026, Salt Lake City, UT 84132-0001 | 2006-04-04 |
| 1265689905 | Rocky Mountain Critical Care Associates, Inc | Emergency Medicine | 1050 E South Temple, 3rd Floor, Salt Lake City, UT 84102-1507 | 2008-08-25 |
| 1538182365 | Gregory R Dunnavant | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-25 |
| 1588687495 | Todd L Allen | Emergency Medicine | 8th Avenue C St, Salt Lake City, UT 84143-0001 | 2006-07-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on S DWAYNE ROBERTS MD LLC.
| 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.