DR. JILL ELISABETH CLARK


Address: 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348
Phone: 8012631621

DR. JILL ELISABETH CLARK (NPI# 1295922052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295922052
Entity Type Individual
Full Name DR. JILL ELISABETH CLARK
Other Name DR. JILL ELISABETH WALDRON
Credential M.D.
Practice Address 1250 E 3900 S
Ste 320
Salt Lake City
UT 84124-1348
Practice Telephone 8012631621
Practice Fax Number 8012631647
Mailing Telephone 8012631621
Mailing Fax Number 8012631647
Enumeration Date 2007-09-26
Last Update Date 2018-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 73799221205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT 1295922052 05

Other Providers JILL CLARK

NPI Name Taxonomy Address Enumeration
1922368075 Jill M Clark Speech-Language Pathologist 147 Trailside Cir, Hiram, GA 30141-3277 2012-05-23
1861777096 Jill B. Clark Counselor 5123 Old Plank Rd, Onondaga, MI 49264-9707 2011-10-19
1174850739 Jill A Clark Massage Therapist 54 C Utica St., Hamilton, NY 13346 2009-11-03
1639351448 Jill Page Clark Occupational Therapy Assistant 1500 Woodline Drive, Raleigh, NC 27603-5760 2007-12-04
1487179255 Jill Anne Clark Social Worker 401 Broad Street, Johnstown, PA 15906 2017-08-13
1598118648 Jill Clark Social Worker 255 Elk Dr Ste C, Burleson, TX 76028-8691 2016-07-13
1871852681 Jill Clark Counselor 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 2012-05-14
1205133246 Jill Clark Pharmacist 1156 Carter Rd, Owensboro, KY 42301-2644 2011-02-25
1407164353 Jill M Clark Chiropractor 401 W Ontario St, Suite 100, Chicago, IL 60654-6957 2010-09-14
1750573804 Jill Clark Social Worker 10373 Ne Hancock St, Suite 200, Portland, OR 97220-3873 2007-08-13

Office Location

Street Address 1250 E 3900 S
STE 320
City SALT LAKE CITY
State UT
Zip Code 84124-1348

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275530305 Camille Collett Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2005-07-05
1548795792 Cammey Young Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2017-04-25
1285167015 Danielle Williamson Lin Student in an Organized Health Care Education/Training Program 1250 E 3900 S, 260, Salt Lake City, UT 84124-1348 2017-04-08
1609308717 Brian Christopher Johnson Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2017-03-29
1144776089 Rosemarie Linsler Nurse Practitioner 1250 E 3900 S, #260, Salt Lake City, UT 84124-1348 2016-08-31
1104289487 Alec Kitch Family Medicine 1250 E 3900 S, Suite #260 Br, Salt Lake City, UT 84124-1348 2016-04-03
1538522461 Ian Michael Mcdaniels Family Medicine 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 2016-03-29
1891151668 Abby N Crume Do PC Colon & Rectal Surgery 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 2016-01-11
1679955017 Summit Oral & Maxillofacial Surgery Dentist 1250 E 3900 S, Ste 210, Salt Lake City, UT 84124-1348 2015-06-22
1447667217 Granger Medical Clinic, Inc. Clinic/Center 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 2014-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487273298 Shannon Penny Price Social Worker 4465 Maybeck Place, Condo C, Millcreek, UT 84124 2020-04-11
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1366923252 Melanie Stumpf Counselor 1141 E 3900, Suite A170, Salt Lake City, UT 84124 2018-08-28
1376033993 Michelle Flowers Speech-Language Pathologist 2120 East 3900 South, Ste 200, Holladay, UT 84124 2018-05-18
1740797257 Lissa Anne Hutchings Nurse Practitioner 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 2018-01-05
1316465693 Randy Gines Counselor 4460 S Highland Drive # 230, Murray, UT 84124 2017-09-06
1417470717 Joshua Chandler Spencer Counselor 4460 South Highland Dr., 230, Murray, UT 84124 2017-07-19
1659891554 Marcus Whitney Counselor 4460 S Highland Dr. # 230, Murray, UT 84124 2017-06-21
1518496884 Courtney Nilson Counselor 4460 S. Highland Dr. #230, Murray, UT 84124 2017-06-08
1841687126 Intrafilrx Preferred Provider Organization 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 2015-04-23
Find all providers in zip 84124

Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922654367 Joseph C Melvin Md PC Colon & Rectal Surgery 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 2019-08-12
1093037376 J Preston Hughes A Professional Corporation Colon & Rectal Surgery 1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350 2010-02-27
1477647246 Peter William Bossart Colon & Rectal Surgery 324 10th Ave Ste 280, Salt Lake City, UT 84103-2875 2006-10-03
1891151668 Abby N Crume Do PC Colon & Rectal Surgery 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 2016-01-11
1942640420 Joseph Conor Melvin Colon & Rectal Surgery 1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350 2013-06-28
1922339373 Jill E Clark Md PC Colon & Rectal Surgery 1220 E 3900 S, Ste 4i, Salt Lake City, UT 84124-1377 2010-01-26
1538396957 Joe Eyring Md PC Colon & Rectal Surgery 348 E 4500 S, Suite 200, Salt Lake City, UT 84107-3906 2009-06-11
1285868059 Abby N Crume Colon & Rectal Surgery 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 2009-05-08
1114101235 William Joseph Peche, Jr. M.d. P.l.l.c. Colon & Rectal Surgery 324 Tenth Ave, Suite 280, Salt Lake City, UT 84103-2853 2007-12-26
1578766820 William Joseph Peche Jr. Colon & Rectal Surgery 50 N Medical Dr, Salt Lake City, UT 84132-0100 2007-06-06
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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