EVAN K. DAUGHERTY (NPI# 1487117198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487117198 |
| Entity Type | Individual |
| Full Name | EVAN K. DAUGHERTY |
| Credential | MD |
| Practice Address |
30 N 1900 E Rm 4c116 Salt Lake City UT 84132-0002 |
| Practice Telephone | 8015817606 |
| Mailing Telephone | 8015817606 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 11885540-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
30 N 1900 E RM 4C116 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84132-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558706903 | Lee M Strand | Student in an Organized Health Care Education/Training Program | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2013-04-29 |
| 1245883016 | Mohammed Abdullah S Alghammass | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-07-22 |
| 1396308961 | Jared D. Hilton | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-18 |
| 1003479270 | Kellen A. Sullivan | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-15 |
| 1235692351 | Emily D. Niehaus | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-08 |
| 1861955775 | Deema H. Sallout | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-08 |
| 1619439783 | Rohith S. Vadlamudi | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-05 |
| 1437611530 | Keegan J. Colletier | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-05 |
| 1720540909 | Evan Thomas Hare | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-04 |
| 1174085344 | Guinn Ellen Dunn | Internal Medicine | 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132-0002 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162331 | Scott Andrew Rizzi | Student in an Organized Health Care Education/Training Program | 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 | 2020-04-02 |
| 1609421403 | Monika Fleckenstein | Ophthalmology | 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 | 2019-08-08 |
| 1366975914 | Jacob Brandenburg | Anesthesiology | School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 | 2017-04-10 |
| 1568815082 | Anastasia Neufeld | Ophthalmology | 65 Mario Capecchi Drive, Salt Lake City, UT 84132 | 2016-07-20 |
| 1912350083 | Gmaan Alzhrani | Student in an Organized Health Care Education/Training Program | 175 N. Medical Drive East , Salt Lake City, UT 84132 | 2016-07-13 |
| 1831544600 | Drew Goerke | Occupational Therapist | 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 | 2016-04-29 |
| 1891179024 | Bong Jik Kim | Student in an Organized Health Care Education/Training Program | 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 | 2015-07-17 |
| 1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1649666264 | Kevin Conrad | Anesthesiology | 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 | 2015-04-09 |
| Find all providers in zip 84132 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84132 |
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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.