ALPINE MEDICAL GROUP


Address: 24 S 1100 E, 201, Salt Lake City, UT 84102-1500
Phone: 8014780010

ALPINE MEDICAL GROUP (NPI# 1306030440) 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) 1306030440
Entity Type Organization
Organization Name ALPINE MEDICAL GROUP
Practice Address 24 S 1100 E
201
Salt Lake City
UT 84102-1500
Practice Telephone 8014780010
Mailing Telephone 8014780010
Enumeration Date 2007-08-31
Last Update Date 2017-06-29
Authorized Official Name DIXIE SMITH (OFFICE MANAGER)
Authorized Official Telephone 8014780010
Is Organization Subpart Y
Parent Organization Name ALPINE MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992713382 Alpine Medical Group Anesthesiology 1050 E South Temple, Salt Lake City, UT 84102-1507 2006-08-03
1740216860 Alpine Medical Group Internal Medicine 1060 E 100 S, Suite L10, Salt Lake City, UT 84102-1501 2006-06-23

Office Location

Street Address 24 S 1100 E
201
City SALT LAKE CITY
State UT
Zip Code 84102-1500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801888748 Thomas R Calame Internal Medicine 24 S 1100 E, Ste 105, Salt Lake City, UT 84102-1500 2005-08-17
1902277908 Tia Peterson Nurse Practitioner 24 S 1100 E, #201, Salt Lake City, UT 84102-1500 2015-10-15
1205222627 Brittney Balogh, Md, PC Surgery 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 2015-04-13
1215325576 Daniel Camp Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2015-01-08
1649681065 Margy Batson LLC Clinic/Center 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 2014-05-20
1821421983 Eric C. Chenworth, D.o.,p.c. Allergy & Immunology 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 2013-08-13
1699010769 Joanne Sumpio Hinson Md Pllc Obstetrics & Gynecology 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 2012-11-30
1376887927 Eric C Chenworth D O P C Clinic/Center 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 2012-11-20
1710262860 Patricia Jean Romney Church Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2011-10-19
1861776494 Jordan Robert Mcqueen Physician Assistant 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 2011-09-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699327684 Walter S Medlin Md PC Surgery 1046 E 100 S Ste A, Salt Lake City, UT 84102-1520 2019-07-10
1912439530 Meghan Eileen Mali Surgery University of Utah Hospital General Surgery, 30 N. 1900 E., Salt Lake City, UT 84132-0001 2017-04-02
1124438924 James Glen O'loughlin Surgery 30 N 1900 E Rm 3b324, Salt Lake City, UT 84132-0001 2014-05-01
1639457542 August Robert Bauer Jr. Surgery 3115 East Lion Lane, Suite 160, Salt Lake City, UT 84121 2011-07-26
1154611986 Anthony Wayne Bacon Surgery 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132-0002 2011-04-13
1902109549 Bariatric Medicine Institute Surgery 1046 E. 100 S., Salt Lake City, UT 84102 2010-12-20
1235468471 J Barry Robb Md Professional Corporation Surgery 1220 E 3900 S Ste 3f, Salt Lake City, UT 84124-1326 2009-12-17
1609020130 Alexander Wojciech Pastuszak Surgery 30 N 1900 E Dept Of, Salt Lake City, UT 84132-0002 2008-11-11
1326209735 Scott Short Surgery 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 2008-06-18
1003076779 Gregory Lawrence Livers Surgery 129 F St, Salt Lake City, UT 84103-2601 2008-06-16
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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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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