SEAN ANTHONY PONCE (NPI# 1376577049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376577049 |
| Entity Type | Individual |
| Full Name | SEAN ANTHONY PONCE |
| Credential | M.D. |
| Practice Address |
3802 S 700 E Salt Lake City UT 84106-1182 |
| Practice Telephone | 8012646004 |
| Practice Fax Number | 8012646098 |
| Mailing Telephone | 8012646004 |
| Mailing Fax Number | 8012646098 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
4976571-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1376577049 | 05 |
| Street Address |
3802 S 700 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-1182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880751 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2018-05-07 |
| 1487177382 | Tom Cooper | Nurse Practitioner | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2017-07-23 |
| 1689037566 | Salt Lake Behavioral Health, LLC | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2016-03-30 |
| 1194129981 | Eric Benson | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-10-22 |
| 1265842579 | Elyse Coolidge Huey | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-05-08 |
| 1811317373 | Salt Lake Behavioral Health, LLC | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-04-23 |
| 1013335827 | Daniel Inouye | Psychiatry & Neurology | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2014-03-31 |
| 1053666883 | Salt Lake Behavioral Health | Psychiatric Hospital | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2012-07-18 |
| 1881764835 | Bradley D Workman | Nurse Practitioner | 3802 S 700 E, Salt Lake City, UT 84106 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1174136113 | Amir Haskic | Family Medicine | 2870 E 3300 S, Salt Lake City, UT 84109-2821 | 2020-08-28 |
| 1689037566 | Salt Lake Behavioral Health, LLC | Family Medicine | 3802 S 700 E, Salt Lake City, UT 84106-1182 | 2016-03-30 |
| 1831421429 | Alpine Center Medical Services Lc | Family Medicine | 5689 S Redwood Rd, Suite 30, Salt Lake City, UT 84123-5447 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467089607 | Mat Ventures | Family Medicine | 8388 S Wasatch Blvd, Cottonwood Heights, UT 84121-6075 | 2020-03-26 |
| 1033742994 | Mobile Vivitrol | Family Medicine | 46 N Foxhill Rd, North Salt Lake, UT 84054-3027 | 2020-02-19 |
| 1518516210 | Cuicui Zhang | Family Medicine | 8686 S 1300 E # L102l104, Sandy, UT 84094-1947 | 2019-09-05 |
| 1275034084 | Southern Utah Health & Recovery | Family Medicine | 260 W Saint George Blvd Ste 202b, St George, UT 84770-3792 | 2018-02-27 |
| 1003070111 | Robert Joel Bush | Family Medicine | 74 S 360 E, American Fork, UT 84003 | 2008-07-17 |
| 1538114889 | Daniel Clyde Cummings | Family Medicine | 694 N 1890 W Unit 44a, Provo, UT 84601-1327 | 2006-05-24 |
| 1457355869 | Charles Wesley Walton | Family Medicine | 11286 N Tamarack Dr, Highland, UT 84003-9595 | 2005-06-13 |
| 1598267122 | Utah Addiction Medicine | Family Medicine | 619 N 500 W, Provo, UT 84601-1547 | 2018-02-28 |
| 1215394176 | Silver Peak Health LLC | Family Medicine | 1790 Sun Peak Dr Ste A102, Park City, UT 84098-6651 | 2016-01-24 |
| 1730554734 | Blue Rock Neurological LLC | Family Medicine | 3152 N University Ave Ste 220, Provo, UT 84604-4746 | 2015-12-02 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on SEAN ANTHONY PONCE.
| 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.