DR. BENJAMIN METCALFE (NPI# 1376953539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376953539 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN METCALFE |
| Credential | D.O. |
| Practice Address |
11925 S State St Draper UT 84020 |
| Mailing Address |
150 W Civic Center Dr Sandy UT 84070-4230 |
| Practice Telephone | 8015458000 |
| Mailing Telephone | 8017272059 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 5101023699 | MI | Allopathic & Osteopathic Physicians |
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
11019100-1204 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 47 New Scotland Ave, Department of Anesthesiology, Albany, NY 122083412 | 5182623095 | |
| 1540 E Hospital Dr, Ann Arbor, MI 48109 | 7347632435 |
| Street Address |
11925 S STATE ST |
| City | DRAPER |
| State | UT |
| Zip Code | 84020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114206612 | Craig Wayne Beck | Pharmacist | 11925 S State St, Lone Peak Hospital, Draper, UT 84020-7735 | 2011-08-15 |
| 1699311209 | Wound Integrity Utah Pllc | Family Medicine | 11925 S State St, Draper, UT 84020-7735 | 2019-11-19 |
| 1730673252 | Sevocation Anesthesia, Pllc | Anesthesiology | 11925 S State St, Draper, UT 84020-7735 | 2018-06-18 |
| 1770821571 | Lone Peak Hospital, Inc. | General Acute Care Hospital | 11925 S State St, Draper, UT 84020-7735 | 2013-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932274834 | Salman Masud | Anesthesiology | 1340 E. 300 N., Salt Lake City, UT 84103-4399 | 2006-11-24 |
| 1235557257 | Eric Robert Buell | Anesthesiology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-04-07 |
| 1215293097 | Gregory Eshima Smith | Anesthesiology | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2012-04-06 |
| 1790089530 | Ihc Health Services Inc | Anesthesiology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2011-01-10 |
| 1992944417 | Carrie Naomi Diehl | Anesthesiology | 175 N Medical Dr E, Salt Lake City, UT 84132-0001 | 2009-02-05 |
| 1487821245 | Benjamin Dee Greenberg | Anesthesiology | 100 Mario Capecchi Dr, Dept. of Anesthesia- Primary Children's Hospital, Salt Lake City, UT 84113-1103 | 2008-05-12 |
| 1548380744 | Charles Edward Liu | Anesthesiology | 100 Mario Capecchi Dr, Department of Anesthesiology, Salt Lake City, UT 84113-1103 | 2007-03-30 |
| 1003936451 | Nicole Jeffreys | Anesthesiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-03-30 |
| 1518014315 | Mckay Bateman | Anesthesiology | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2007-01-04 |
| 1730254111 | Eileen R. Csontos | Anesthesiology | 1340 E 300 N, Salt Lake City, UT 84103-4399 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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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.