DR. RICHARD CLARK CLINE (NPI# 1245237080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245237080 |
| Entity Type | Individual |
| Full Name | DR. RICHARD CLARK CLINE |
| Credential | M.D. |
| Practice Address |
154 Myrtle Avenue Suite 204 Murray UT 84107-4850 |
| Mailing Address |
Po Box 71506 Suite 204 Salt Lake City UT 84171-0506 |
| Practice Telephone | 8012889002 |
| Practice Fax Number | 8012888987 |
| Mailing Telephone | 8019038956 |
| Mailing Fax Number | 8012888987 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
173525-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043357916 | Richard William Cline Jr. | Family Medicine | 108 Medical Center Blvd, Suite G-50, Fayetteville, TN 37334-2741 | 2007-01-31 |
| 1942263280 | Richard Glen Cline | Internal Medicine | 1706 E Lamar Alexander Pkwy, Maryville, TN 37804-6204 | 2006-04-08 |
| Street Address |
154 MYRTLE AVENUE SUITE 204 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-4850 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700446325 | Ihc Health Services Inc | Internal Medicine | 5169 S Cottonwood St Ste 320, Murray, UT 84107-6768 | 2019-06-17 |
| 1316373087 | Ihc Health Services Inc | Internal Medicine | 5171 S Cottonwood St, Ste 350, Murray, UT 84107-5733 | 2013-09-25 |
| 1205192325 | Alpine Kidney & Hypertension Institute | Internal Medicine | 154 Myrtle Ave Ste 204, Murray, UT 84107-4850 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520154 | Utah Kidney Clinic LLC | Internal Medicine | 4345 Harrison Blvd Ste 101, Ogden, UT 84403-3103 | 2020-08-28 |
| 1134588957 | St George Kidney Care LLC | Internal Medicine | 624 S 1000 E Ste 103, St George, UT 84790-5902 | 2016-02-22 |
| 1952560351 | Aylin Rachel Rodan | Internal Medicine | 85 Medical Dr, Room 223, Salt Lake City, UT 84112-1100 | 2008-06-02 |
| 1467644286 | Kristie Elizabeth Jones | Internal Medicine | 5315 Adams Ave Pkwy Ste A, South Ogden, UT 84405-4772 | 2007-08-15 |
| 1578761003 | Hasan Joseph Salameh | Internal Medicine | 650 E 4500 S Ste 210, Salt Lake City, UT 84107-4520 | 2007-07-05 |
| 1801807144 | Jerald P Boseman | Internal Medicine | 121 S Orem Blvd Ste 103, Orem, UT 84058 | 2006-08-11 |
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1124064845 | Terry C Hammond | Internal Medicine | 1175 E 50 S Ste 161, American Fork, UT 84003-2845 | 2006-06-21 |
| 1679533012 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151 | 2006-03-27 |
| 1841271491 | Sheetal Shah | Internal Medicine | 3181 W 9000 S, West Jordan, UT 84088-5610 | 2005-11-10 |
| Find all providers with the same taxonomy | ||||
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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.