SCOTT SHORT (NPI# 1326209735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326209735 |
| Entity Type | Individual |
| Full Name | SCOTT SHORT |
| Credential | MD |
| Practice Address |
100 N Mario Capecchi Dr Ste 3800 Salt Lake City UT 84113-1103 |
| Practice Telephone | 8016622950 |
| Practice Fax Number | 8016622980 |
| Mailing Telephone | 8016622950 |
| Mailing Fax Number | 8016622980 |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2017-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | A112687 | CA | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
9203042-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470754 | Scott Olin Short | Chiropractor | 619 S Washington St Ste 202, Moscow, ID 83843-3063 | 2019-10-28 |
| 1053460691 | Scott R Short | Psychiatry & Neurology | 3425 Executive Pkwy, Suite 230, Toledo, OH 43606-1326 | 2007-01-10 |
| Street Address |
100 N MARIO CAPECCHI DR STE 3800 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801159926 | Elisabeth Kristine Wynne | Surgery | 100 N Mario Capecchi Dr Ste 3800, Salt Lake City, UT 84113-1103 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620888 | Brian Thomas Bucher | Surgery | 100 N Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2007-03-23 |
| 1790845873 | Syed Adil Husain | Surgery | 100 N Mario Capecchi Dr Ste 2200, Salt Lake City, UT 84113-1103 | 2006-12-11 |
| 1225119019 | Earl Courtney Downey Jr. | Surgery | 241 N Vine St Apt 906e, 906e, Salt Lake City, UT 84103-1926 | 2006-10-18 |
| 1740644319 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| 1205290053 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
| 1144684994 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
| 1275790776 | Dale Gedge Johnson | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1100 | 2008-05-21 |
| 1770707713 | Michael D Rollins II | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103 | 2007-04-12 |
| 1316028103 | Richard E Black | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-18 |
| 1902996515 | Rebecka L Meyers | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-13 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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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.