HIGHLAND MEDICAL PLLC (NPI# 1215010327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215010327 |
| Entity Type | Organization |
| Organization Name | HIGHLAND MEDICAL PLLC |
| Other Organization Name | HIGHLAND FAMILY PRACTICE |
| Practice Address |
4460 Highland Dr Ste 400 Salt Lake City UT 84124-3565 |
| Mailing Address |
4460 So Highland Dr #400 Salt Lake City UT 84124 |
| Practice Telephone | 8012724111 |
| Practice Fax Number | 8012725989 |
| Mailing Telephone | 8012724111 |
| Mailing Fax Number | 8012725989 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | DEREK DAVID MUSE (MANAGER) |
| Authorized Official Telephone | 8012724111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 3484061205 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 3655121205 | UT | Allopathic & Osteopathic Physicians |
| N | 305R00000X | Preferred Provider Organization | 1813021205 | UT | Managed Care Organizations |
| N | 207Q00000X | Family Medicine | 2763721206 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2879974405 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 1045691206 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 1813021205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 528940093006 | 05 |
| Other Name | Type Code |
|---|---|
| Highland Family Practice | Doing Business As Name - Organization |
| Street Address |
4460 HIGHLAND DR STE 400 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-3565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157662 | Sharon Seeley | Registered Nurse | 4460 Highland Dr, Suite #100, Salt Lake City, UT 84124-3543 | 2006-01-09 |
| 1932496452 | Bristol Home Care-utah LLC | Home Health | 4460 Highland Dr, Ste. 240, Salt Lake City, UT 84124-3543 | 2011-07-05 |
| 1730407859 | Travis D Ritchie | Social Worker | 4460 Highland Dr, Salt Lake City, UT 84124-3543 | 2010-05-13 |
| 1104155522 | Bronwyn Powell | Social Worker | 4460 Highland Dr, Ste 100, Salt Lake City, UT 84124-3543 | 2009-12-14 |
| 1558440081 | Elaine S. Jackson | Registered Nurse | 4460 Highland Dr, Ste. #300, Salt Lake City, UT 84124-3543 | 2006-11-03 |
| 1366491169 | Jane Warenski | Social Worker | 4460 Highland Dr, 300, Salt Lake City, UT 84124-3543 | 2006-05-09 |
| 1295792117 | Valley Mental Health Incorporated | Social Worker | 4460 Highland Dr, Suite 300, Salt Lake City, UT 84124-3543 | 2006-04-26 |
| 1366408874 | Valley Mental Health Incorporated | Psychologist | 4460 Highland Dr, Suite 100, Salt Lake City, UT 84124-3543 | 2006-04-24 |
| 1629032677 | Linda Lee Wolt | Registered Nurse | 4460 Highland Dr, 300, Salt Lake City, UT 84124-3543 | 2006-04-14 |
| 1083680052 | Don Richard Muller | Social Worker | 4460 Highland Dr, Suite 100, Salt Lake City, UT 84124-3543 | 2006-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957468 | Aubrie Dawn Tilley | Family Medicine | 1741 E Imperial Park Ln, Salt Lake City, UT 84106-3379 | 2020-09-23 |
| 1457969834 | Sandra Lee Porter | Family Medicine | 3979 S Jester Dr, Salt Lake City, UT 84123-1227 | 2020-07-21 |
| 1265057673 | Onsite Care Clinics | Family Medicine | 230 S 500 E Ste 510, Salt Lake City, UT 84102-2028 | 2020-06-11 |
| 1467097071 | Centric Physicians Intermountain Region, Pllc | Family Medicine | 7101 N Mesa Street #365, Salt Lake City, UT 84101-1603 | 2019-11-07 |
| 1760036024 | Mindy Marie Wade | Family Medicine | 1950 E Fort Union Blvd, Salt Lake City, UT 84121-6894 | 2019-07-25 |
| 1841854338 | Tandy Muse | Family Medicine | 4460 S Highland Dr Ste 400, Salt Lake City, UT 84124-3565 | 2019-04-30 |
| 1821561408 | Terra Bowden | Family Medicine | 450 S 900 E Ste 175, Salt Lake City, UT 84102-2981 | 2019-01-07 |
| 1801379193 | Country Corner Family Medicine | Family Medicine | 5460 W Clernates Dr, Salt Lake City, UT 84118-8526 | 2018-09-12 |
| 1396259008 | Futura Medical Clinic | Family Medicine | 1407 W North Temple Ste 120, Salt Lake City, UT 84116-3187 | 2017-11-17 |
| 1255858734 | Fjm Basecamp | Family Medicine | 185 S State St Ste 208, Salt Lake City, UT 84111-1558 | 2017-08-25 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.