STEPHEN R SHUPUT (NPI# 1285745158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285745158 |
| Entity Type | Individual |
| Full Name | STEPHEN R SHUPUT |
| Credential | MD |
| Practice Address |
400 C St Salt Lake City UT 84143-1005 |
| Mailing Address |
2975 Executive Pkwy 200 Lehi UT 84043-9642 |
| Practice Telephone | 8019939582 |
| Practice Fax Number | 8017335618 |
| Mailing Telephone | 8019901911 |
| Mailing Fax Number | 8019901912 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | MD27419 | OR | Allopathic & Osteopathic Physicians |
| Y | 207L00000X | Anesthesiology | 82-169038-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DESERET MUTUAL | 36407 | 01 |
| AZ | 820838 | 05 | |
| ID | 003075300 | 05 | |
| UT | EDUCATORS MUTUAL | 870545614SH1 | 01 |
| UT | UMWA | 1502954 | 01 |
| WY | 108049100 | 05 | |
| UT | PEHP | 37817 | 01 |
| UT | HEALTHY U | 53268 | 01 |
| UT | MOLINA | PRA05848 | 01 |
| OR | 006393 | 05 | |
| NV | 100501223 | 05 | |
| WA | 8492795 | 05 | |
| OR | RR MEDICARE | P00611182 | 01 |
| UT | IHC | 107005104101 | 01 |
| UT | UNITED HEALTHCARE | 2090168 | 01 |
| UT | WORKERS COMP | 8597445 | 01 |
| UT | ALTIUS | QM0000075886 | 01 |
| Street Address |
400 C ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84143-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700802246 | Michael J Lahey | Internal Medicine | 400 C St, Salt Lake City, UT 84143-1005 | 2006-07-15 |
| 1306908264 | Christina A Lloyd | Nurse Practitioner | 400 C St, Salt Lake City, UT 84143-1005 | 2006-12-15 |
| 1659441780 | Michael Francis Coudreaut | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-11-08 |
| 1104996222 | David K Ryser | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-11-08 |
| 1811092216 | Craig R Jensen | Anesthesiology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-13 |
| 1730281478 | Theodore J Wander | Psychiatry & Neurology | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1205938958 | Bradley J Morris | Physician Assistant | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1295837938 | Jess A Cone | Social Worker | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1790887446 | Frank O Thomas | Internal Medicine | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| 1639271398 | Polly P Bailey | Nurse Practitioner | 400 C St, Salt Lake City, UT 84143-1005 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053725572 | Robert Thomas Nuttall | Respiratory Therapist, Registered | 8th Ave. and C Street, Salt Lake City, UT 84143 | 2014-06-12 |
| 1346447331 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and 'c' Street, Salt Lake City, UT 84143 | 2007-07-02 |
| 1629142898 | Robert L Mazzola | Internal Medicine | 8th & C Street, Intermountain Sleep Disorders Center - Lds Hospital, Salt Lake City, UT 84143 | 2006-11-20 |
| 1053407726 | Tom V Cloward | Internal Medicine | 400 D Street Ste 206, Salt Lake City, UT 84143 | 2006-10-04 |
| 1396838926 | Sharon Briggs Schneider | Pharmacist | 8th Ave and C Street, Salt Lake City, UT 84143 | 2006-10-02 |
| 1700818911 | Rebecca Bailey | Psychologist | 4n, 8th Ave C Street, Salt Lake City, UT 84143 | 2006-07-07 |
| 1851348924 | Gayle White | Nurse Practitioner | 8th Ave C Street, Lds Hospital Wound Care Service, Salt Lake City, UT 84143 | 2006-05-27 |
| 1669459301 | Steven Eugene Nickman | Physician Assistant | 8th Avenue & C Street, Lds Hospital E8/ibmt Program, Salt Lake City, UT 84143 | 2005-12-23 |
| 1912454448 | Todd J Seamons | Pharmacist | 8th Ave & C St, Outpatient Pharmacy, Salt Lake City, UT 84143 | 2016-09-01 |
| 1235568130 | Intermountain Healthcare | General Acute Care Hospital | 8th Avenue and C St, Lds Hospital, Salt Lake City, UT 84143 | 2013-11-01 |
| Find all providers in zip 84143 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1881125896 | Blain Chaise Housley | Anesthesiology | 30 N 1900 E # 3c444, Salt Lake City, UT 84132-3440 | 2017-03-22 |
| 1609225762 | Jason Douglas Williams | Anesthesiology | 1609225762, Salt Lake City, UT 84132-0002 | 2016-06-09 |
| 1104270438 | Kasinda Goodwin | Anesthesiology | 3425 S Paige Cir, Salt Lake City, UT 84109-3179 | 2016-04-22 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| 1952796526 | Peter Schoene | Anesthesiology | 30 N 1900 3c444, Salt Lake City, UT 84132-0001 | 2015-04-01 |
| 1487073169 | Ashka Rajul Shah | Anesthesiology | Department of Anesthesiology 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132-5045 | 2014-04-10 |
| 1639519390 | Daniel Justin Falk | Anesthesiology | University of Utah Hospital 30 North 1900, 1c412, Salt Lake City, UT 84132-0001 | 2013-06-26 |
| 1912240391 | Jie Luo | Anesthesiology | 1220 E 3900 S Ste 30, Salt Lake City, UT 84124-1377 | 2013-04-03 |
| 1740526169 | John B English | Anesthesiology | 3621 E Millcreek Canyon Rd, Salt Lake City, UT 84109-3852 | 2012-12-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84143 |
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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.