COTTONWOOD PEDIATRIC GASTROENTEROLOGY (NPI# 1346595188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346595188 |
| Entity Type | Organization |
| Organization Name | COTTONWOOD PEDIATRIC GASTROENTEROLOGY |
| Practice Address |
5770 S 250 E Ste330 Murray UT 84107-8100 |
| Practice Telephone | 8013144455 |
| Practice Fax Number | 8013144433 |
| Mailing Telephone | 8013144455 |
| Mailing Fax Number | 8013144433 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | LOUIS L MIZELL JR. (PHYSICIAN) |
| Authorized Official Telephone | 8013144455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
168364-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5770 S 250 E STE330 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| 1245602507 | Debra Camp | Registered Nurse | 5770 S 250 E, #310, Murray, UT 84107-8100 | 2015-10-27 |
| 1912374521 | Cindy Clymore | Registered Nurse | 5770 S 250 E, Murray, UT 84107-8100 | 2015-08-31 |
| 1558738161 | Laura Guilmain | Registered Nurse | 5770 S 250 E, Suite 310, Murray, UT 84107-8100 | 2015-08-31 |
| 1710319058 | Stacey Claire Snow | Audiologist | 5770 S 250 E, #285, Murray, UT 84107-8100 | 2013-08-08 |
| 1407292451 | Amy K. Stewart | Social Worker | 5770 S 250 E, Murray, UT 84107-8100 | 2013-05-17 |
| 1174866941 | Jake C Jones | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-31 |
| 1851633903 | Rebecca Elizabeth Kincaid | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-26 |
| 1699021741 | Leslie Pollio Farrell | Nurse Practitioner | 5770 S 250 E, Ste 330, Murray, UT 84107-8100 | 2012-07-26 |
| 1336415520 | Alexandra G Cayias | Speech-Language Pathologist | 5770 S 250 E, G50, Murray, UT 84107-8100 | 2012-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369693 | Pediatric Gastroenterology and Nutrition, Inc. | Pediatrics | 5770 S 250 E Ste 330, Murray, UT 84107-8104 | 2007-03-03 |
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1407210545 | University of Utah Pediatric Services | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1831340231 | Raza Ali Patel | Pediatrics | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2008-10-02 |
| 1417036088 | William Daniel Jackson | Pediatrics | 100 Mario Capecchi Dr, Suite 2650, Salt Lake City, UT 84113-1103 | 2006-11-03 |
| 1033298609 | Linda S Book | Pediatrics | 100 N Medical Dr, Salt Lake City, UT 84113-1103 | 2006-11-03 |
| 1023117843 | Steven Shi-fong Wu | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-09-21 |
| 1275566291 | Rajiv J Kaddu | Pediatrics | 1380 E Medical Center Dr, Suite 3100, St George, UT 84790-2123 | 2006-07-10 |
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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.