EVERGREEN MEDICAL, INC.


Address: 10011 Centennial Pkwy, Suite 500, Sandy, UT 84070-4156
Phone: 8016767627

EVERGREEN MEDICAL, INC. (NPI# 1316160534) 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) 1316160534
Entity Type Organization
Organization Name EVERGREEN MEDICAL, INC.
Other Organization Name THE SMART CLINIC
Practice Address 10011 Centennial Pkwy
Suite 500
Sandy
UT 84070-4156
Practice Telephone 8016767627
Practice Fax Number 8016767629
Mailing Telephone 8016767627
Mailing Fax Number 8016767629
Enumeration Date 2007-04-10
Last Update Date 2008-03-05
Authorized Official Name MRS. MARCI MERRILL (OFFICE MANAGER)
Authorized Official Telephone 8016767627
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA DR NPI 1013980119 01
UT DR NPI 1285604462 01
UT DR NPI 1750351847 01
UT DR NPI 1649377540 01

Other Provider/Organization Names

Other Name Type Code
the SMART Clinic Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations EVERGREEN MEDICAL, INC 3340 Beity Rd, Valley, WA 99181

Office Location

Street Address 10011 CENTENNIAL PKWY
SUITE 500
City SANDY
State UT
Zip Code 84070-4156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003812116 Gary Anthony Carter Dentist 10011 Centennial Pkwy, Ste 240, Sandy, UT 84070-4156 2005-06-23
1558676957 Erickson Surgical Consulting Pllc Obstetrics & Gynecology 10011 Centennial Pkwy, Suite 150, Sandy, UT 84070-4156 2010-08-10
1407002496 Jacob Scott Hamblin Dentist 10011 Centennial Pkwy, Suite 540, Sandy, UT 84070-4156 2008-08-11
1649452475 Paul W Winterton Md PC Orthopaedic Surgery 10011 Centennial Pkwy, #230, Sandy, UT 84070-4156 2007-12-04
1215130182 Salt Lake Women's Center Specialist 10011 Centennial Pkwy, Suite 350, Sandy, UT 84070-4156 2007-06-07
1508076928 Paul E. Harrison Dermatology 10011 Centennial Pkwy, Ste 200, Sandy, UT 84070-4156 2007-05-23
1750418612 Trueskin Dermatology & Surgery Inc Dermatology 10011 Centennial Pkwy, Suite 200, Sandy, UT 84070-4156 2007-02-27
1669517751 Erik Richard Rooklidge Dentist 10011 Centennial Pkwy, Suite 250, Sandy, UT 84070-4156 2007-02-20
1588725097 Robert Chidester Dentist 10011 Centennial Pkwy, Suite 330, Sandy, UT 84070-4156 2006-12-12
1417017740 Justin Carl Wilcox Physician Assistant 10011 Centennial Pkwy, Ste. 150, Sandy, UT 84070-4156 2006-12-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639777568 Megan Komatsu Inc. Social Worker 10815 700 East, Sandy, UT 84070 2020-10-13
1841803137 Anywhere Care Nurse Practitioner 9980 S. 300 W. Suite 200, Sandy, UT 84070 2020-08-26
1245840552 Kirandeep Kaur Psychologist 9678 700 E # 102, Sandy, UT 84070 2020-08-03
1740890961 Elizabeth Lowe Madsen Counselor 9678 700 East Suite 102, Sandy, UT 84070 2020-08-03
1417597188 Hayley Burr Counselor 8706 700 E, Suite 205, Sandy, UT 84070 2020-01-10
1821656422 Karen Ritchie Counselor 9192 South 300 West, Sandy, UT 84070 2019-05-30
1679068159 Derek Livingston Counselor 11075 State St #35, Sandy, UT 84070 2018-06-27
1891283735 Alta Rx LLC. Pharmacy 9883 South 500 West, Sandy, UT 84070 2018-04-26
1790273704 The Addiction Medicine Physicians Group, LLC Registered Nurse 9160 S 300 E. Ste 25, Sandy, UT 84070 2018-04-25
1841794765 Caryn Beazel Physical Therapist 9350 150 E, Sandy, UT 84070 2018-03-23
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063721850 Alta Pain Physicians, Pllc Pain Medicine 11333 S 1000 E, #102, Sandy, UT 84094-5428 2010-09-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972862605 Intermountain Pain Management and Injury, Inc Pain Medicine 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 2012-05-15
1285958439 Advanced Spine Pain Specialists Pain Medicine 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 2010-03-17
1619907490 Kyle Shigeru Matsumura Pain Medicine 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 2006-07-04
1326665829 Wasatch Wellness Center LLC Pain Medicine 1215 S 1680 W, Orem, UT 84058-4939 2020-06-30
1689226391 Utah Intermountain Pain Management Pain Medicine 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 2019-07-12
1568909836 Glacier Peak Pain Care Pllc Pain Medicine 1407 N 2000 W, Clinton, UT 84015-8562 2017-01-25
1073959714 Wasatch Sports, Spine & Pain Treatment Center Pllc Pain Medicine 680 E Main St, 202, Lehi, UT 84043-2241 2013-05-21
1841531340 Wasatch Pain Solutions, PC Pain Medicine 661 W 10600 S, South Jordan, UT 84095-8524 2013-03-07
1376821587 Canyon Ridge Pain and Spine PC Pain Medicine 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 2011-07-22
1861643330 Craig William Davis Pain Medicine 3181 W 9000 So, West Jordan, UT 84088 2008-10-02
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Competitor

Search similar providers

City SANDY
Zip Code 84070

Improve Information

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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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