DR. WILLIAM JOHN CIMIKOSKI JR. (NPI# 1356532576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356532576 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOHN CIMIKOSKI JR. |
| Credential | M.D. |
| Practice Address |
10432 S Wasatch Blvd Sandy UT 84092-4555 |
| Practice Telephone | 8016511143 |
| Practice Fax Number | 8017331987 |
| Mailing Telephone | 8016511143 |
| Mailing Fax Number | 8017331987 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2015-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 316586-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207PT0002X |
Emergency Medicine Specialization: Medical Toxicology |
MD 429410 | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 316586-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
10432 S WASATCH BLVD |
| City | SANDY |
| State | UT |
| Zip Code | 84092-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580687 | Michael L Wolf | Registered Nurse | 9915 S 2240 E, Sandy, UT 84092 | 2018-08-29 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1154737427 | Sandy Shores Pediatric Dentistry | Dentist | 1434 E. 9400 S. #205, Sandy, UT 84092 | 2014-07-08 |
| 1629349915 | David Adams | Counselor | 10306 South 2375 East, Alta, UT 84092 | 2012-01-19 |
| 1043511587 | Edward Chipman Spencer | Orthopaedic Surgery | 3260 East 9425 South, Sandy, UT 84092 | 2010-11-16 |
| 1669785440 | David Jonathan Wilde | Counselor | 10038 S Countrywood Dr, Sandy, UT 84092 | 2010-07-21 |
| 1396057592 | Joshua Taylor Silva | Preventive Medicine | 2878 E Wasatch Blvd, Sandy, UT 84092 | 2010-07-06 |
| 1467619809 | Deborah J. Dean | Clinical Nurse Specialist | 9768 Eastdell Dr, Sandy, UT 84092 | 2008-05-22 |
| 1780781682 | Michael Ryan Adams | Family Medicine | 7998 South 1300 East, Sandy, UT 84092 | 2006-09-20 |
| 1194853390 | William S Hoge | Pharmacist | 9500 E Little Cottonwood Cny Rd, Snowbird, UT 84092-0000 | 2007-03-01 |
| Find all providers in zip 84092 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949434 | Deep Creek Family Medicine | Family Medicine | 39084 Proctor Blvd Ste A, Sandy, OR 97055-8064 | 2020-07-14 |
| 1265953780 | Sleep Disorders Clinic, Pllc | Family Medicine | 688 E Union Sq # 101, Sandy, UT 84070-3403 | 2017-07-06 |
| 1447642988 | Scope | Family Medicine | 10000 S Centennial Pkwy, Sandy, UT 84070-4148 | 2015-02-20 |
| 1689972408 | David Lon Heaston | Family Medicine | 8868 Oak Hollow Cir, Sandy, UT 84093-2147 | 2011-03-02 |
| 1013179936 | Lisa J Hill | Family Medicine | 10011s Centennial Pkwy 350, Sandy, UT 84070-4137 | 2008-07-01 |
| 1699965939 | Kelli J Hurlburt | Family Medicine | 10000 S Centennial Pkwy Ste 235, Sandy, UT 84070-4148 | 2007-08-01 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1912032640 | Timothy Schaat | Family Medicine | 1045 E Black Forest Dr, Sandy, UT 84094-6920 | 2007-02-22 |
| 1932242690 | Stanley Morris Gardner | Family Medicine | 10946 S Hyrum Pl, Suite 317, Sandy, UT 84070-5202 | 2007-02-14 |
| 1891847117 | Martin Lambert Abbinanti | Family Medicine | 11142 S Barrett Park Cir, Sandy, UT 84092-2200 | 2007-01-17 |
| Find all providers in SANDY | ||||
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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.