UTAH PLASTIC SURGERY LLC (NPI# 1487198321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487198321 |
Entity Type | Organization |
Organization Name | UTAH PLASTIC SURGERY LLC |
Other Organization Name | UTAH FACIAL PLASTICS |
Practice Address |
2255 N 1700 W #205 Layton UT 84041-1119 |
Practice Telephone | 8017762220 |
Practice Fax Number | 8017762534 |
Mailing Telephone | 8017762220 |
Mailing Fax Number | 8017762534 |
Enumeration Date | 2016-12-12 |
Last Update Date | 2016-12-12 |
Authorized Official Name | DR. SCOTT KENT THOMPSON (SOLE OWNER) |
Authorized Official Telephone | 8017762220 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
6103240-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 529599912001 | 05 |
Other Name | Type Code |
---|---|
Utah Facial Plastics | Doing Business As Name - Organization |
Street Address |
2255 N 1700 W #205 |
City | LAYTON |
State | UT |
Zip Code | 84041-1119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891795779 | Bryan Kent Wilcox | Otolaryngology | 2255 N 1700 W, Suite 200, Layton, UT 84041-1119 | 2005-07-21 |
1548252885 | Michael D Washburn | Ophthalmology | 2255 N 1700 W, 100, Layton, UT 84041-1140 | 2005-08-22 |
1346232196 | Insight Eye Specialists PC | Ophthalmology | 2255 N 1700 W, #100, Layton, UT 84041-1140 | 2005-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
Find all providers in zip 84041 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467751008 | Amir Allak | Otolaryngology | 3584 W 9000 S Ste 311, West Jordan, UT 84088-4775 | 2011-03-22 |
1932367976 | Lucy Barr Md PC Dba Barr Aesthetics | Otolaryngology | 24 South 1100 East Ste 102, Salt Lake City, UT 84102 | 2008-05-27 |
1114378023 | Ward Md LLC | Otolaryngology | 6322 S 3000 E, Suite 170, Salt Lake City, UT 84121-6922 | 2016-06-22 |
1194119685 | University of Utah Dental Services | Otolaryngology | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-24 |
1093024689 | Utah Head and Neck Surgery | Otolaryngology | 945 W Hospital Dr Ste 1, Price, UT 84501-4230 | 2010-09-29 |
1932307188 | Lucy Jane Barr | Otolaryngology | 82 S 1100 E, Suite 200, Salt Lake City, UT 84102-1686 | 2007-07-10 |
1265522874 | Steven Ross Mobley | Otolaryngology | 5292 S College Dr, Suite 303, Murray, UT 84123-2958 | 2006-10-13 |
1881702355 | Kent Eric Gardner | Otolaryngology | 1490 E Foremaster Dr, Suite 350, St George, UT 84790-4488 | 2006-08-26 |
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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.