MS. SHONTI G. BREISCH (NPI# 1447725247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447725247 |
Entity Type | Individual |
Full Name | MS. SHONTI G. BREISCH |
Credential | PA-C |
Practice Address |
6150 S Vineway Cir Murray UT 84121-1947 |
Practice Telephone | 8012438165 |
Mailing Telephone | 8012438165 |
Enumeration Date | 2018-10-08 |
Last Update Date | 2019-12-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 11439425-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
6150 S VINEWAY CIR |
City | MURRAY |
State | UT |
Zip Code | 84121-1947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
Find all providers in zip 84121 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043705866 | Jeffery Mccleve | Physician Assistant | 5323 S Woodrow St Ste 100, Murray, UT 84107-5842 | 2018-06-25 |
1518402098 | Philip John Swink | Physician Assistant | 650 E 4500 S Ste 100, Murray, UT 84107-4536 | 2016-12-20 |
1760849657 | Molly Ann Nowill | Physician Assistant | 5169 S Cottonwood St Ste 501a, Murray, UT 84107-6767 | 2016-01-22 |
1114399839 | Scott West | Physician Assistant | 5169 S Cottonwood St Ste 510, Murray, UT 84107-6770 | 2015-10-21 |
1679901169 | Jennifer Aileen Wight | Physician Assistant | 5169 S Cottonwood St Ste 440, Murray, UT 84107-6774 | 2013-10-22 |
1164728960 | Lex Kiyoshi Grimley | Physician Assistant | 5169 Cottonwood St Ste 520, Murray, UT 84107-6767 | 2011-01-27 |
1760618730 | Kelly Lynae Richardson | Physician Assistant | 5121 S Cottonwood St Ste 320, Murray, UT 84107-5701 | 2009-06-04 |
1184887051 | Meredith Evin Pike | Physician Assistant | 5450 S Green St, Murray, UT 84123-5632 | 2008-07-09 |
1215091525 | Matthew M Neddo | Physician Assistant | 5911 S Fashion Blvd, Murray, UT 84107-7352 | 2006-12-21 |
1396830402 | Pamela L Sunshine | Physician Assistant | 5131 S Cottonwood St # L-2, Murray, UT 84107-5701 | 2006-10-04 |
Find all providers in MURRAY |
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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.