DR. KENT MITCHELL SAMUELSON


Address: 324 10th Avenue, #100, Salt Lake City, UT 84103
Phone: 8014088700

DR. KENT MITCHELL SAMUELSON (NPI# 1255378063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255378063
Entity Type Individual
Full Name DR. KENT MITCHELL SAMUELSON
Credential MD
Practice Address 324 10th Avenue
#100
Salt Lake City
UT 84103
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8014088700
Practice Fax Number 8014088732
Mailing Telephone 8014088700
Mailing Fax Number 8014088732
Enumeration Date 2006-06-01
Last Update Date 2011-06-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207X00000X Orthopaedic Surgery 1544921205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT 942854057012 05

Office Location

Street Address 324 10TH AVENUE
#100
City SALT LAKE CITY
State UT
Zip Code 84103

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932509213 Paul David Rauch Specialist/Technologist 701 De Soto Street, Salt Lake City, UT 84103 2014-08-24
1073866695 University Neuropsychiatric Institute Community Based Residential Treatment Facility, Mental Illness 252 South 500 East, Salt Lake City, UT 84103 2012-10-19
1114285558 Christopher John Murphy Student in an Organized Health Care Education/Training Program 585 1st Ave, Salt Lake City, UT 84103 2012-04-23
1447573266 Peter Louis Kapelke Specialist Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 2010-03-08
1578763389 Susana Auhangamea Kinikini Nurse Practitioner Fairfax @ Virginia Street, Salt Lake City, UT 84103 2007-07-19
1609082320 Cynthia N Shumway Social Worker 580 10th Avenue, Salt Lake City, UT 84103 2007-05-16
1811010655 Kent Walker Farnsworth Obstetrics & Gynecology 1509 Federal Heights Drive, Salt Lake City, UT 84103 2007-04-09
1912082421 Eloise Agnes Maughan Nurse Practitioner 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 2006-10-25
1407968464 Kit D Smith Anesthesiology 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 2006-08-31
1396854113 Lisa H Carter Physical Therapist 1285 East Fairfax Road, Salt Lake City, UT 84103 2006-08-29
Find all providers in zip 84103

Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144582354 Daniel Bradley Gibbs Orthopaedic Surgery 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 2012-06-13
1992037410 Geoffrey Alvin Orme Orthopaedic Surgery 2045 E 900 S, Salt Lake City, UT 84108-1301 2010-02-09
1700050044 Junius Clawson Md PC Orthopaedic Surgery 5810 S 300 E Ste 300, Salt Lake City, UT 84107-8176 2008-04-17
1376764282 Joan D Miles Orthopaedic Surgery 5169 S Cottonwood St Ste 430, Salt Lake City, UT 84107-6774 2007-05-01
1407988504 Johnathan Horne Orthopaedic Surgery 6362 Vintage Oak Ln, Salt Lake City, UT 84121-6544 2007-03-12
1578606562 Craig Hugh Mcqueen Orthopaedic Surgery 1250 E 3900 S Ste 4050, Salt Lake City, UT 84124-1348 2007-02-15
1548351364 John F Bermen Jr. Orthopaedic Surgery 3465 S 4155 West, Suite 5, Salt Lake City, UT 84120-2013 2006-09-27
1669563706 Utah Bone & Joint Center Lc Orthopaedic Surgery 5323 S. Woodrow St, Ste 202, Salt Lake City, UT 84107 2006-09-27
1104881499 Jacques L. D'astous Orthopaedic Surgery Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 2006-04-19
1366418386 Michael Shaun Machen Orthopaedic Surgery 100 Mario Capecchi Dr # 4550, Salt Lake City, UT 84113-1103 2006-02-28
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84103

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Dataset Information

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.

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