WASATCH WELLNESS CENTER LLC (NPI# 1326665829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326665829 |
Entity Type | Organization |
Organization Name | WASATCH WELLNESS CENTER LLC |
Practice Address |
1215 S 1680 W Orem UT 84058-4939 |
Mailing Address |
1427 E Howards Way Fruit Heights UT 84037-5301 |
Practice Telephone | 4802159003 |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-06-30 |
Authorized Official Name | DR. AARON KETCHER (OWNER) |
Authorized Official Telephone | 4802159003 |
Authorized Official Credential | DNP, FNP-C, CRNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
1215 S 1680 W |
City | OREM |
State | UT |
Zip Code | 84058-4939 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962460675 | Kensington Services, LLC | Durable Medical Equipment & Medical Supplies | 1215 S 1680 W, Orem, UT 84058-4939 | 2006-05-02 |
1437757440 | Dr. Calvin's Clinic of Orem | Chiropractor | 1215 S 1680 W, Orem, UT 84058-4939 | 2020-10-12 |
1780157099 | Rocky Mountain Tms | Psychiatry & Neurology | 1215 S 1680 W, Orem, UT 84058-4939 | 2019-01-09 |
1467978064 | Ian Matthew Dawe | Nurse Practitioner | 1215 S 1680 W, Orem, UT 84058-4939 | 2017-08-16 |
1598170201 | Aspen Clinical Research LLC | Clinical Medical Laboratory | 1215 S 1680 W, Orem, UT 84058-4939 | 2014-06-23 |
1780005835 | Kp Medical Services | Durable Medical Equipment & Medical Supplies | 1215 S 1680 W, Orem, UT 84058-4939 | 2013-12-16 |
1649537325 | Aspen Central Laboratory | Clinical Medical Laboratory | 1215 S 1680 W, Orem, UT 84058-4939 | 2012-04-18 |
1245503929 | Christine D Roach | Physician Assistant | 1215 S 1680 W, Orem, UT 84058-4939 | 2012-02-11 |
1013200351 | Aspen Health & Wellness | Clinic/Center | 1215 S 1680 W, Orem, UT 84058-4939 | 2011-05-19 |
1518266501 | Aspen Clinical Research, LLC | Clinic/Center | 1215 S 1680 W, Orem, UT 84058-4939 | 2011-03-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
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Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
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 |
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 |
1063721850 | Alta Pain Physicians, Pllc | Pain Medicine | 11333 S 1000 E, #102, Sandy, UT 84094-5428 | 2010-09-28 |
1861643330 | Craig William Davis | Pain Medicine | 3181 W 9000 So, West Jordan, UT 84088 | 2008-10-02 |
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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.