CENTRAL UTAH DERMATOLOGY (NPI# 1245863893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245863893 |
| Entity Type | Organization |
| Organization Name | CENTRAL UTAH DERMATOLOGY |
| Practice Address |
861 N Main Richfield UT 84701 |
| Practice Telephone | 4358964298 |
| Mailing Telephone | 4358964298 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | SEALTIEL A TINAJERO (PRESIDENT) |
| Authorized Official Telephone | 4355316269 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 43 E 450 N, Ephraim, UT 846274027 | 4358964298 |
| Street Address |
861 N MAIN |
| City | RICHFIELD |
| State | UT |
| Zip Code | 84701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518420868 | Jason Olsen | Pharmacist | 1000 N. Main St., Retail Pharmacy, Richfield, UT 84701 | 2019-04-12 |
| 1396055042 | Jesse Lee Maughan | Pharmacist | 1080 S Hwy 118, Richfield, UT 84701 | 2010-10-15 |
| 1629254552 | Trenton Dayle Thalman | Dentist | 130 E 600 N, Richfield, UT 84701 | 2008-01-10 |
| 1215141817 | Chris G Farrer | Social Worker | 682 North Main, Richfield, UT 84701 | 2007-05-10 |
| 1265576326 | Ihc Health Services Inc | Obstetrics & Gynecology | 1000 N Main St Ste A, Richfield, UT 84701 | 2007-02-20 |
| 1780725275 | Scott Dewey Henderson | Social Worker | 681 N Main, Richfield, UT 84701 | 2007-02-09 |
| 1497800742 | Lds Family Services | Clinic/Center | 681 North Main, Richfield, UT 84701 | 2007-01-25 |
| 1053480368 | Roger J Oldroyd | Dentist | 490 North Main, Richfield, UT 84701 | 2006-11-08 |
| 1013018084 | Richard I Yardley | Optometrist | 90 East Center, Richfield, UT 84701 | 2006-09-25 |
| 1215968334 | K Mart Corp | Pharmacy | 1040 South Us Highway 89, Richfield, UT 84701 | 2006-07-06 |
| Find all providers in zip 84701 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205960317 | Southwest Dermatology Specialists. Ltd | Dermatology | 6425 Nicollet Ave, Suite 202, Richfield, MN 55423-1668 | 2007-03-14 |
| 1932201639 | Susan M Holt | Dermatology | 6425 Nicollet Ave, Suite 202, Richfield, MN 55423-1668 | 2006-09-02 |
| 1629000534 | David William Groth | Dermatology | 6425 Nicollet Ave, Suite # 202, Richfield, MN 55423-1675 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810401 | Smart & Gibbs | Dermatology | 3200 W Clubhouse Dr Ste 100, Lehi, UT 84043-4325 | 2019-09-12 |
| 1043874332 | Waymore Shade LLC | Dermatology | 451 S Main St Ste 1, Springville, UT 84663-2293 | 2019-04-23 |
| 1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1417467986 | Red Ledges Dermatology Pllc | Dermatology | 1449 N 1400 W Ste 22, St George, UT 84770-5237 | 2017-10-10 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1861861155 | Brent H. Goodsell, Do | Dermatology | 162 S 1100 E, American Fork, UT 84003-2817 | 2015-09-17 |
| 1912316654 | Jeanna Tachiki Ryan | Dermatology | 243 E 6100 S, Murray, UT 84107-7302 | 2014-08-07 |
| 1659785889 | Dana Rice | Dermatology | 6095 S Fashion Blvd Ste 270, Murray, UT 84107-7387 | 2014-06-16 |
| 1548680184 | West Valley Dermatology | Dermatology | 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076 | 2014-04-22 |
| 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.