WESTMINSTER COLLEGE (NPI# 1265806830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265806830 |
| Entity Type | Organization |
| Organization Name | WESTMINSTER COLLEGE |
| Other Organization Name | WESTMINSTER COLLEGE SPORTS MEDICINE |
| Practice Address |
1840 S 1300 E Salt Lake City UT 84105-3617 |
| Mailing Address |
Po Box 650850 Dept 1011 Dallas TX 75265-0850 |
| Practice Telephone | 8018322355 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Westminster College Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438765 | Westminster College | Orthopaedic Surgery | 501 Westminster Ave, Fulton, MO 65251-1230 | 2020-02-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTMINSTER COLLEGE | 501 Westminster Ave, Fulton, MO 65251-1299 |
| Street Address |
1840 S 1300 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245425610 | Jennifer K Rogers | Nurse Practitioner | 1840 S 1300 E, Salt Lake City, UT 84105-3617 | 2007-09-10 |
| 1457959629 | Lauren Welch Deming | Nurse Practitioner | 1840 S 1300 E, Salt Lake City, UT 84105-3697 | 2020-10-11 |
| 1013485440 | Kirsten Astle | Specialist/Technologist | 1840 S 1300 E, Salt Lake City, UT 84105-3697 | 2018-11-03 |
| 1396137030 | Joshua Juarez | Specialist/Technologist | 1840 S 1300 E, Salt Lake City, UT 84105-3697 | 2015-03-03 |
| 1447660337 | Sean T Kendall | Specialist/Technologist | 1840 S 1300 E, Salt Lake City, UT 84105-3617 | 2014-05-01 |
| 1003154667 | Sara Beaudry | Contractor | 1840 S 1300 E, Salt Lake City, UT 84105-3617 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811265044 | Lonnie Paulos Md PC | Orthopaedic Surgery | 324 East 10th Avenue, Ste 172, Salt Lake City, UT 84103-3184 | 2011-12-02 |
| 1487646998 | Robert B Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1992700330 | Leon E Paulos | Orthopaedic Surgery | 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 | 2005-06-14 |
| 1083128730 | Kia Wilson | Orthopaedic Surgery | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2017-11-16 |
| 1073773107 | Andrew D Cooper Md PC | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2008-06-12 |
| 1396713020 | Mark David Scholl | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2006-03-09 |
| 1477547164 | Andrew D. Cooper | Orthopaedic Surgery | 24 S 1100 E, Salt Lake City, UT 84102-1500 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477865491 | Ihc Health Services Inc | Orthopaedic Surgery | 1159 E 200 N Ste 100, American Fork, UT 84003-2053 | 2010-07-07 |
| 1558546739 | Mark A.rosen Md, LLC | Orthopaedic Surgery | 5911 Fashion Blvd., Suite 100, Murray, UT 84107 | 2008-01-07 |
| 1255422192 | Bruce E Thomas | Orthopaedic Surgery | 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403-5180 | 2006-09-27 |
| 1922098334 | Eric A Heiden | Orthopaedic Surgery | 2200 Park Ave Bldg D, Park City, UT 84060-7246 | 2005-10-26 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1588162283 | Alpine Management and Consulting | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2018-01-28 |
| 1154842607 | Ihc Health Services Inc | Orthopaedic Surgery | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1043697154 | Ihc Health Services Inc | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-8440 | 2015-04-28 |
| 1427456797 | Intermountain Healthcare | Orthopaedic Surgery | 652 S Medical Center Dr, Suite 120, St George, UT 84790-7049 | 2014-12-18 |
| 1962805358 | Utah Valley University | Orthopaedic Surgery | 800 W University Pkwy, Orem, UT 84058-6703 | 2014-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
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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.