LUCIA SCOTT ALTAMIRANO MD CORP (NPI# 1407038409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407038409 |
| Entity Type | Organization |
| Organization Name | LUCIA SCOTT ALTAMIRANO MD CORP |
| Other Organization Name | NEUROLOGICAL CENTER |
| Practice Address |
3685 N 100 E Suite A Provo UT 84604-4594 |
| Practice Telephone | 8012291054 |
| Mailing Telephone | 8012291054 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | DR. LUCIA ALTAMIRANO (PRESIDENT) |
| Authorized Official Telephone | 8012291054 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
5019133-1205 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| NEUROLOGICAL CENTER | Other Name - Individual/Organization |
| Street Address |
3685 N 100 E SUITE A |
| City | PROVO |
| State | UT |
| Zip Code | 84604-4594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417097775 | Nathan Fred Hanson | Dentist | 3685 N 100 E, Suite B, Provo, UT 84604-4594 | 2007-02-07 |
| 1538391339 | Audrey Jantzen, M.d. Pllc | Clinic/Center | 3685 N 100 E, Suite A, Provo, UT 84604-4594 | 2009-08-13 |
| 1801055934 | Ihc Health Services Inc | Psychiatry & Neurology | 3685 N 100 E, Provo, UT 84604-4594 | 2008-06-04 |
| 1891970992 | Luz E Boyer Fnp, LLC | Nurse Practitioner | 3685 N 100 E, Ste A, Provo, UT 84604-4594 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669941043 | Utah Valley Clinical Evaluation Physicians Lc | Clinic/Center | 1034 N 500 W, Provo, UT 84604-3380 | 2018-11-15 |
| 1477883569 | A Creig Macarthur, M.d.p.c. | Clinic/Center | 1055 N 300 W, Suite 212, Provo, UT 84604-3344 | 2010-01-12 |
| 1538391339 | Audrey Jantzen, M.d. Pllc | Clinic/Center | 3685 N 100 E, Suite A, Provo, UT 84604-4594 | 2009-08-13 |
| 1790957454 | Steven E Call Md | Clinic/Center | 3651 No 100 E, Ste #150, Provo, UT 84604-5373 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417596339 | Adams Chiropractic Inc. | Clinic/Center | 3336 S Pioneer Pkwy Ste 202, West Valley City, UT 84120-2080 | 2019-12-23 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1497316905 | The West Clinic Draper | Clinic/Center | 12371 S 900 E, Draper, UT 84020-9833 | 2019-06-25 |
| 1235691510 | Desert Bloom Plastic Surgery LLC | Clinic/Center | 446 S Mall Dr Ste 1, St George, UT 84790-4944 | 2019-04-04 |
| 1568952190 | Bear River Valley Medical LLC | Clinic/Center | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2018-05-18 |
| 1376944942 | Legacy Dermatology | Clinic/Center | 320 W 500 S, Suite 210, Bountiful, UT 84010-7218 | 2014-09-14 |
| 1821417684 | James E Wellman Md | Clinic/Center | 5998 Spring Canyon Rd, Ogden, UT 84403-5476 | 2014-04-09 |
| 1255769386 | Slc Diagnostic Imaging | Clinic/Center | 6202 W Freedom Hill Way, Herriman, UT 84096-6987 | 2013-10-29 |
| 1013269406 | Cnm | Clinic/Center | 4749 S Holladay Blvd, Holladay, UT 84117-5420 | 2012-10-09 |
| 1023381241 | Clifford G Harman | Clinic/Center | 12091 Lampton View Dr, Riverton, UT 84065-7834 | 2012-02-18 |
| 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.