TELERAD OF UT ACCOUNT MANAGEMENT LLC (NPI# 1295285344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295285344 |
| Entity Type | Organization |
| Organization Name | TELERAD OF UT ACCOUNT MANAGEMENT LLC |
| Practice Address |
607 N 1200 E Mapleton UT 84664-5622 |
| Mailing Address |
13737 Noel Rd 1600 Dallas TX 75240-1331 |
| Practice Telephone | 4694012386 |
| Mailing Telephone | 4694012386 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | GREGORY ROSE (PRESIDENT) |
| Authorized Official Telephone | 4694012386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
607 N 1200 E |
| City | MAPLETON |
| State | UT |
| Zip Code | 84664-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027793 | Genevieve Marie Leetham | Nurse Practitioner | 1134 E Maple St, Mapleton, UT 84664 | 2019-08-06 |
| 1124517982 | Aspen Summit Chiropractic and Wellness | Chiropractor | 726 South 1600 West Suite 101, Mapleton, UT 84664 | 2018-05-08 |
| 1619329448 | Nathan Heywood | Dentist | 774 S 1600 W, Suite 103, Mapleton, UT 84664 | 2016-07-05 |
| 1447634324 | Pdc Mapleton LLC | Dentist | 744 S 1600 W, Mapleton, UT 84664 | 2015-07-10 |
| 1679995906 | Canyon View Medical Group LLC | Obstetrics & Gynecology | 1429 S 1600 W, Mapleton, UT 84664 | 2014-01-06 |
| 1093828873 | Benjamin Michael Griffiths | Dentist | 108 North 1600 West, Mapleton Family Dentistry, Mapleton, UT 84664 | 2006-08-16 |
| 1982868956 | Donna Susan Freeborn | Nurse Practitioner | 425 N 1800 W, Mapleton, UT 84664-3138 | 2008-07-17 |
| 1265796866 | Procare Therapy, Inc. | Clinic/Center | 1409 W 1400 N, Mapleton, UT 84664-3358 | 2012-06-28 |
| 1922483510 | Timothy David Anderson | Physical Therapist | 1409 W 1400 N, Mapleton, UT 84664-3358 | 2015-07-23 |
| 1154758431 | Ryan Daniel Hone | Nurse Anesthetist, Certified Registered | 1446 S 1030 W, Mapleton, UT 84664-3366 | 2013-10-02 |
| Find all providers in zip 84664 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406281 | Slmri, LLC | Radiology | 10696 S River Front Pkwy, South Jordan, UT 84095-3525 | 2020-01-10 |
| 1487296505 | Us Sports Medicine, LLC | Radiology | 1178 E Brickyard Rd, Salt Lake City, UT 84106-2555 | 2019-10-09 |
| 1043771645 | Bear River Spine Center, Pllc | Radiology | 630 E 1400 N Ste 115, Logan, UT 84341-2691 | 2019-03-27 |
| 1558877134 | Gregory Wallace Johnson | Radiology | 769 W 1900 S, Woods Cross, UT 84087-1720 | 2017-12-19 |
| 1073907556 | Peter Hinckley | Radiology | 4650 S Quail Park Dr Apt E, Slc, UT 84117-4843 | 2015-03-24 |
| 1467865329 | Shane Nicholas Weber | Radiology | 30 N 1900 E Rm 1a07, Salt Lake City, UT 84132-0002 | 2014-06-09 |
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1487090528 | Wendell Andrew Gibby | Radiology | 3152 N University Ave Dept Of, Provo, UT 84604-4745 | 2013-05-16 |
| 1790047371 | Jason Meigs | Radiology | 224 N 2650 W, Lehi, UT 84043-4319 | 2012-06-11 |
| 1508124843 | Nikolas Michael Damme | Radiology | 30 N 1900 East #1a071, Apt B4, Salt Lake City, UT 84413-2140 | 2012-04-24 |
| 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.