SILVER PEAK MEDICAL LLC (NPI# 1265899009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265899009 |
| Entity Type | Organization |
| Organization Name | SILVER PEAK MEDICAL LLC |
| Practice Address |
1817 S Main St Ste 8 Salt Lake City UT 84115-7060 |
| Mailing Address |
6300 Sagewood Dr Ste 123 Park City UT 84098-7502 |
| Practice Telephone | 4355710245 |
| Practice Fax Number | 4356024405 |
| Mailing Telephone | 4355710245 |
| Mailing Fax Number | 4356024405 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Authorized Official Name | AMANDA CURTIS (BILLING) |
| Authorized Official Telephone | 4802086539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
5633279 | UT | Behavioral Health & Social Service Providers |
| N | 207R00000X | Internal Medicine | 5633279 | UT | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
5633279 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1817 S MAIN ST STE 8 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-7060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990329 | Steps Md | Internal Medicine | 901 S Orem Blvd, Orem, UT 84058-5011 | 2019-03-07 |
| 1730374604 | William Joseph Walsh IIi | Internal Medicine | 1745 W 7800 S, West Jordan, UT 84088 | 2007-09-13 |
| 1609973684 | Robert I Simpson | Internal Medicine | 619 N 500 W, Provo, UT 84601-1547 | 2006-09-20 |
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on SILVER PEAK MEDICAL LLC.
| 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.