PHYSICIAN WOUND CARE SPECIALISTS OF UTAH (NPI# 1245464858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245464858 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN WOUND CARE SPECIALISTS OF UTAH |
| Practice Address |
1220 E 3900 S Ste 3a Salt Lake City UT 84124-1326 |
| Mailing Address |
6508 S Canyon Cove Dr Holladay UT 84121-6339 |
| Practice Telephone | 8015909064 |
| Practice Fax Number | 8012789182 |
| Mailing Telephone | 8013495711 |
| Mailing Fax Number | 8012789182 |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | DR. BRET R BOYLE (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8015909064 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | FB0623810 | 01 |
| Street Address |
1220 E 3900 S STE 3A |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598844839 | Bret R Boyle | Preventive Medicine | 1220 E 3900 S Ste 3a, Salt Lake City, UT 84124 | 2006-11-06 |
| 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 | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598844839 | Bret R Boyle | Preventive Medicine | 1220 E 3900 S Ste 3a, Salt Lake City, UT 84124 | 2006-11-06 |
| 1306362249 | Healogics Specialty Physicians of Utah, LLC | Preventive Medicine | 1201 E 4500 S, Salt Lake City, UT 84117-4124 | 2017-08-22 |
| 1538187455 | Salt Lake Wound Care and Hyperbaric | Preventive Medicine | 3949 S 700 E, Suite #180, Salt Lake City, UT 84107-2384 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144369752 | Robert Alan Harris | Preventive Medicine | 2132 N Robins Dr Ste B101, Layton, UT 84041-7058 | 2007-02-06 |
| 1790718492 | Utah Hyperbaric Physicians | Preventive Medicine | 520 Medical Dr Ste 110, Bountiful, UT 84010-8931 | 2006-07-08 |
| 1437576212 | Ihc Health Services Inc | Preventive Medicine | 98 N 1100 E, American Fork, UT 84003 | 2014-03-18 |
| 1245675453 | Ihc Health Services Inc | Preventive Medicine | 1333 N Main St, Ste 3, Cedar City, UT 84721-9314 | 2013-05-01 |
| 1033489505 | Ihc Health Services Inc | Preventive Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2011-12-30 |
| 1417238601 | Ihc Health Services Inc | Preventive Medicine | 544 S 400 E, St George, UT 84770-3705 | 2011-09-01 |
| 1104127901 | Ihc Health Services Inc | Preventive Medicine | 1034 N 500 W, Provo, UT 84604-3380 | 2010-11-10 |
| 1710957980 | John Gilbert Martinez | Preventive Medicine | 4403 Harrison Blvd, Suite 2600, Ogden, UT 84403-3271 | 2006-01-23 |
| 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.