ALLEGIS CARE-UTAH, PC (NPI# 1336406438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336406438 |
| Entity Type | Organization |
| Organization Name | ALLEGIS CARE-UTAH, PC |
| Practice Address |
10808 South River Road Suite 344 South Jordan UT 84095-6103 |
| Mailing Address |
1340 S Damen Ave Suite 400 Chicago IL 60608-1169 |
| Practice Telephone | 7732924800 |
| Practice Fax Number | 3125644059 |
| Mailing Telephone | 7732924800 |
| Mailing Fax Number | 3125644059 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | MR. DIRK O WALES (CEO/OWNER) |
| Authorized Official Telephone | 6155643511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| Y | 207R00000X | Internal Medicine | UT | Allopathic & Osteopathic Physicians |
| Street Address |
10808 SOUTH RIVER ROAD SUITE 344 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-6103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295139889 | Merit Care | Internal Medicine | 1600 W Merit Pkwy, South Jordan, UT 84095-2416 | 2014-10-10 |
| 1952322836 | Angelo Pulgiano | Internal Medicine | 5126 West Daybreak Parkway, South Jordan Health Center, South Jordan, UT 84095-9061 | 2006-07-23 |
| 1487688685 | Theresa Gourde | Internal Medicine | 10623 S Redwood Rd, Suite 101, South Jordan, UT 84095-2481 | 2006-07-11 |
| 1497730642 | Forrest A Bullock | Internal Medicine | 5268 W Bowstring Way, South Jordan, UT 84009-6161 | 2005-12-09 |
| 1730600651 | Raga S Guthula | Internal Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2017-06-30 |
| 1104245778 | Sara Gail Cohen Slatkin | Internal Medicine | 3556 W 9800 S Ste 101, South Jordan, UT 84095-3221 | 2014-04-10 |
| 1629400429 | Integrated Wellness Utah Frogley Health and Wellness Cente | Internal Medicine | 10376 S Jordan Gtwy, South Jordan, UT 84095-3954 | 2013-08-02 |
| 1104117381 | Michelle Elizabeth Murray | Internal Medicine | 3556 W 9800 S, Suite 101, South Jordan, UT 84095-3211 | 2011-04-22 |
| 1265606735 | Curtis K Andrews | Internal Medicine | 3556 W 9800 S, Suite 101, South Jordan, UT 84095-3211 | 2008-04-16 |
| 1548228497 | Rachot Vacharothone | Internal Medicine | 10464 S Redwood Rd, South Jordan, UT 84095-8501 | 2006-05-02 |
| Find all providers in SOUTH JORDAN | ||||
| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.