DR. MAX S LUNDBERG (NPI# 1265426621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265426621 |
Entity Type | Individual |
Full Name | DR. MAX S LUNDBERG |
Credential | MD |
Practice Address |
11333 S 1000 E Suite 100 Sandy UT 84094 |
Mailing Address |
11333 S 1000 E Suite 100 Sandy UT 84094-5429 |
Practice Telephone | 8015714100 |
Mailing Telephone | 8015714100 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2018-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
1731351205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | RAILROAD MEDICARE | 110033926 | 01 |
Street Address |
11333 S 1000 E SUITE 100 |
City | SANDY |
State | UT |
Zip Code | 84094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023495132 | James Glines | Physical Therapy Assistant | 11333 S 1000 E, 101, Sandy, UT 84094-5428 | 2015-04-28 |
1063721850 | Alta Pain Physicians, Pllc | Pain Medicine | 11333 S 1000 E, #102, Sandy, UT 84094-5428 | 2010-09-28 |
1366627846 | Don H Hansen Physical Therapy Inc | Physical Therapist | 11333 S 1000 E, Ste 101, Sandy, UT 84094-5429 | 2008-01-03 |
1437294253 | South Valley Rheumatology PC | Internal Medicine | 11333 S 1000 E, Suite 100, Sandy, UT 84094-5429 | 2007-02-20 |
1487711123 | Michael Ming-chi Chen | Physical Medicine & Rehabilitation | 11333 S 1000 E, Suite 102, Sandy, UT 84094-5428 | 2007-01-02 |
1841307964 | Mountain Land Precision Therapy Lc | Physical Therapist | 11333 S 1000 E, Sandy, UT 84094 | 2006-08-24 |
1205820693 | Richard B Gremillion | Internal Medicine | 11333 S 1000 E, Ste 100, Sandy, UT 84094-5429 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
Find all providers in zip 84094 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1437294253 | South Valley Rheumatology PC | Internal Medicine | 11333 S 1000 E, Suite 100, Sandy, UT 84094-5429 | 2007-02-20 |
1205820693 | Richard B Gremillion | Internal Medicine | 11333 S 1000 E, Ste 100, Sandy, UT 84094-5429 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720493273 | Grace Skemp-dymond | Internal Medicine | 30 N 1900 E # Som4b200, Salt Lake City, UT 84132-0002 | 2014-06-24 |
1831477256 | Jameel Youssef | Internal Medicine | 4403 Harrison Blvd Ste 3650, Ogden, UT 84403-3288 | 2011-08-02 |
1649567835 | Seung Yoon Lee | Internal Medicine | 181 E Medical Tower Dr Fl 2, Murray, UT 84107-4886 | 2011-07-07 |
1235201526 | Brigham City Arthritis Clinic PC | Internal Medicine | 984 South Medical Dr, Suite #3, Brigham City, UT 84302 | 2006-11-14 |
1760576367 | Raymond R. Mcpeek | Internal Medicine | 779 Taviawk, Ivins, UT 84738-6416 | 2006-10-03 |
1073622288 | Wenshu Yu | Internal Medicine | 3650 N University Ave Ste 150, Provo, UT 84604-6636 | 2006-08-30 |
1942239439 | Grant Wilson Cannon | Internal Medicine | Vamc (11e), 500 Foothill Boulevard, Salt Lake City, UT 84148-0001 | 2006-06-30 |
1295707677 | Corey Wyn Walker | Internal Medicine | 1350 N 500 E, Logan, UT 84341-2400 | 2006-02-01 |
1982692182 | Richard A Call II | Internal Medicine | 3651 No 100 E, Ste #150, Provo, UT 84604 | 2005-10-11 |
1558353821 | Sean Eric Mcmillan | Internal Medicine | 154 Myrtle Ave, Suite 204, Murray, UT 84107-4833 | 2005-08-22 |
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.