WASATCH MEDICAL (NPI# 1275971640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275971640 |
| Entity Type | Organization |
| Organization Name | WASATCH MEDICAL |
| Practice Address |
6770 S 900 E Ste 103 Midvale UT 84047-1709 |
| Practice Telephone | 8016478888 |
| Practice Fax Number | 8015615857 |
| Mailing Telephone | 8016478888 |
| Mailing Fax Number | 8015615857 |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | MRS. MARY D SCOTT (OFFICE MANAGER) |
| Authorized Official Telephone | 8016478888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 168632-1205 | UT | Other Service Providers |
| Street Address |
6770 S 900 E STE 103 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942515317 | Amanda Jae Gonzalez | Social Worker | 6770 S 900 E, Suite 105, Midvale, UT 84047-1709 | 2010-08-10 |
| 1407216211 | Kalli Kronmiller | Counselor | 6770 S 900 E, Suite 105, Midvale, UT 84047-1709 | 2016-03-07 |
| 1578802153 | Shelley Hardy | Marriage & Family Therapist | 6770 S 900 E, Midvale, UT 84047-1709 | 2013-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281500 | Joseph Dean Jensen | Specialist | 7396 Union Park Ave, 201, Midvale, UT 84047-6700 | 2005-08-02 |
| 1801335997 | Gabriella Balderrama | Specialist | 7434 S State St, Midvale, UT 84047-2014 | 2017-02-22 |
| 1689635799 | Dermatology Center of Salt Lake Inc. | Specialist | 7396 Union Park Ave, #201, Midvale, UT 84047-6700 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045237 | Brian Baker | Specialist | 8796 S 4770 W, West Jordan, UT 84088-4930 | 2019-10-19 |
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1255803920 | Premier Pediatrics LLC | Specialist | 48 S 2500 W Ste 220, Hurricane, UT 84737-3380 | 2018-12-19 |
| 1255824090 | Jose Ramiro Izquierdo | Specialist | 6975 S Union Park Ctr, Cottonwood Heights, UT 84047-6048 | 2018-06-06 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1306352091 | Gary Thomas | Specialist | 1820 Sidewinder Dr Ste 100, Park City, UT 84060-7563 | 2017-12-18 |
| 1922533751 | Natasha Peterson | Specialist | 84 E 150 N, American Fork, UT 84003-1624 | 2017-04-30 |
| 1265967814 | Sahra Askalany Affleck | Specialist | 5543 W 10180 N, Highland, UT 84003-9154 | 2017-04-20 |
| 1699209221 | Mountain Spine PC | Specialist | 11613 S State St, Draper, UT 84020-9456 | 2017-04-20 |
| 1215475116 | Megan Porter | Specialist | 307 N 300 W Ste 301, Kaysville, UT 84037-1852 | 2017-02-10 |
| 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.