SHADOW MOUNTAIN FAMILY PHYSICIANS


Address: 7800 South 3855 West, 100, West Jordan, UT 84088
Phone: 8012825952

SHADOW MOUNTAIN FAMILY PHYSICIANS (NPI# 1417125139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417125139
Entity Type Organization
Organization Name SHADOW MOUNTAIN FAMILY PHYSICIANS
Practice Address 7800 South 3855 West
100
West Jordan
UT 84088
Mailing Address 7800 S 3855 W
#100
West Jordan
UT 84084
Practice Telephone 8012825952
Practice Fax Number 8012825951
Mailing Telephone 8012825952
Mailing Fax Number 8012825951
Enumeration Date 2008-02-15
Last Update Date 2008-04-01
Authorized Official Name DR. JOSEPH KASPER (PRESIDENT)
Authorized Official Telephone 8012825952
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 346744-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address 7800 SOUTH 3855 WEST
100
City WEST JORDAN
State UT
Zip Code 84088

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881178655 Sierra Burt Physician Assistant 3584 West 90000 South Suite 304, West Jordan, UT 84088 2018-09-18
1659861847 Miller Anesthesia Consultants PC Anesthesiology Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 2018-05-14
1821501495 Cleo Stephanides Cheney Dentist 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 2017-11-06
1124546742 Crystal Lynn Santos Counselor 4431 8200 S, West Jordan, UT 84088 2017-09-04
1154705960 Heston Farnsworth Dentist 9217 South Redwood Road, Suite B, West Jordan, UT 84088 2015-07-13
1750778767 Andrew Cantwell Dentist 3855 7800 South #150, West Jordan, UT 84088 2015-04-17
1962764282 Steven Howard Reano Specialist 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 2012-06-12
1528328846 Orthodontic Payment Services, LLC Dentist 1231 W 9000 S #d, West Jordan, UT 84088 2012-05-21
1588932321 Jessica Millard Counselor 9278 S 1700 W, West Jordan, UT 84088 2011-12-08
1346553062 Barbara Rouse Counselor 9278 Redwood Rd, West Jordan, UT 84088 2010-07-22
Find all providers in zip 84088

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689210551 Evergreen Clinic LLC Family Medicine 1561 W 7000 S Ste 100, West Jordan, UT 84084-3556 2019-11-25
1528203817 West Jordan Family Medicine, LLC Family Medicine 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 2008-12-16
1962606657 Jordan Landing Family Medicine LLC Family Medicine 3895 W 7800 S Suite 100, West Jordan, UT 84088-1966 2007-06-14
1336227206 Jackie Anne Fonua Family Medicine 3354 W 7800 S, West Jordan, UT 84088-4506 2006-11-01
1235158304 Brenten C Pugh, Md Family Medicine 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 2006-07-19
1174555320 James S Coy Family Medicine 2751 W 9000 S, West Jordan, UT 84088 2006-07-07
1386675627 Randall R Fillmore Family Medicine 2751 W 9000 South, West Jordan, UT 84088 2006-07-05
1568405397 Dennis R Hamp Family Medicine 3895 W 7800 S, Suite, 100, West Jordan, UT 84088-5617 2006-06-13
1275576027 Judith L Kirstein Family Medicine 8846 S Redwood Rd, Ste E121, West Jordan, UT 84088-9334 2006-06-13
1952341000 Randall L. Watson Family Medicine 1575 W 7000 S, West Jordan, UT 84084-3431 2006-06-07
Find all providers in WEST JORDAN

Competitor

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City WEST JORDAN
Zip Code 84088

Improve Information

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Dataset Information

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.

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