OBSTETRIX MEDICAL GROUP OF UTAH, PC (NPI# 1457627507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457627507 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF UTAH, PC |
| Practice Address |
1140 E 3900 S Ste 390 Salt Lake City UT 84124-1228 |
| Mailing Address |
1301 Concord Ter Sunrise FL 33323-2843 |
| Practice Telephone | 8017434700 |
| Practice Fax Number | 8017434705 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 9548580434 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |
| Authorized Official Name | MR. ERIC KURZWEIL (REGIONAL PRESIDENT) |
| Authorized Official Telephone | 9543840175 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1140 E 3900 S STE 390 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481162 | Timothy Robert Lapine | Pediatrics | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2005-07-18 |
| 1295166809 | Marnae Harward | Nurse Practitioner | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2013-12-06 |
| 1568893279 | Lindsay Janke | Physician Assistant | 1140 E 3900 S, Ste 340, Salt Lake City, UT 84124-1228 | 2013-12-05 |
| 1841628666 | Robert Sylvester | Nurse Practitioner | 1140 E 3900 S, Suite 360, Salt Lake City, UT 84124-1228 | 2013-10-15 |
| 1336584861 | Kristin May Brown | Physician Assistant | 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 | 2013-05-10 |
| 1447593520 | Linh Ai Moran | Obstetrics & Gynecology | 1140 E 3900 S, Salt Lake City, UT 84124-1228 | 2013-03-27 |
| 1548516172 | Megan Judkins | Genetic Counselor, MS | 1140 E 3900 S, St. Mark's Hospital, Salt Lake City, UT 84124-1228 | 2012-08-01 |
| 1326328345 | Louis V Melini | Physician Assistant | 1140 E 3900 S, 360, Salt Lake City, UT 84124-1228 | 2011-08-22 |
| 1508155193 | Sean Frederick Edmunds | Obstetrics & Gynecology | 1140 E 3900 S, Ste 400, Salt Lake City, UT 84124-1228 | 2011-04-04 |
| 1659522472 | Camille Stevenson | Obstetrics & Gynecology | 1140 E 3900 S, Suite 410, Salt Lake City, UT 84124-1228 | 2008-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174802250 | Lauren H Theilen | Obstetrics & Gynecology | 50 N Medical Dr Ste 2185, Salt Lake City, UT 84132 | 2011-08-08 |
| 1922028166 | Amy E Sullivan | Obstetrics & Gynecology | University of Utah Hospital Clinics Dept of Ob/gyn, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2006-07-20 |
| 1992769368 | Michael L Draper | Obstetrics & Gynecology | 30 North 1900 E Ste 2b200, U of U Dept of Ob/gyn, Salt Lake City, UT 84132-0001 | 2006-04-13 |
| 1780088849 | University of Utah Specialty Services | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-20 |
| 1053658708 | Jessica Marie Page | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-3011 | 2013-01-14 |
| 1699074732 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1053610196 | Ihc Health Services Inc | Obstetrics & Gynecology | 8 Th Ave and C St, Salt Lake City, UT 84143-0001 | 2011-03-15 |
| 1679890719 | Christina Annette Herrera | Obstetrics & Gynecology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-04-29 |
| 1568674208 | Cara C Heuser | Obstetrics & Gynecology | 5121 Cottonwood St, Suite 100, Salt Lake City, UT 84107-5701 | 2007-05-04 |
| 1356421259 | Gilbert Marc Jackson | Obstetrics & Gynecology | 30 N 1900 E # 2b-200, Salt Lake City, UT 84132-0002 | 2006-10-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.