INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC (NPI# 1487764411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764411 |
| Entity Type | Organization |
| Organization Name | INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC |
| Other Organization Name | EAR,NOSE AND THROAT CENTER OF SALT LAKE CITY |
| Practice Address |
22 S 900 E Salt Lake City UT 84102-1307 |
| Practice Telephone | 8013282522 |
| Practice Fax Number | 8019242900 |
| Mailing Telephone | 8013282522 |
| Mailing Fax Number | 8019242900 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | EVON PEFAUR (BILLING MANAGER) |
| Authorized Official Telephone | 8013282522 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ear,Nose and Throat Center of Salt Lake City | Former Legal Business Name - Organization |
| Street Address |
22 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84102-1307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942313796 | Steven K Miller | Otolaryngology | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2006-08-16 |
| 1649800210 | Summer Ann Price | Speech-Language Pathologist | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2020-01-22 |
| 1134610090 | Michelle Adelaide Parker | Speech-Language Pathologist | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2018-05-25 |
| 1689072753 | Nancy S Sengmanichanh | Physician Assistant | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2014-12-05 |
| 1790093201 | Stephen A Spurlock | Physician Assistant | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2010-09-17 |
| 1851621098 | Margaret Lee Clarke | Audiologist | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2010-01-11 |
| 1881844280 | Ear, Nose & Throat Hearing Center, LLC | Hearing Aid Equipment | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2008-09-23 |
| 1689831851 | Alison Ediger | Audiologist | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2008-05-16 |
| 1316153695 | Eric Lee Slattery | Otolaryngology | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2007-05-15 |
| 1164557583 | Bryan C Tagge | Otolaryngology | 22 S 900 E, Salt Lake City, UT 84102-1307 | 2007-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
| 1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
| 1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
| 1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
| 1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
| 1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
| 1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| Find all providers in zip 84102 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720593866 | Ling Auduong | Clinic/Center | 4460 S Highland Dr Ste 230, Salt Lake City, UT 84124-3550 | 2017-12-12 |
| 1376887927 | Eric C Chenworth D O P C | Clinic/Center | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2012-11-20 |
| 1346597507 | J. Dayne Petersen M.d., PC | Clinic/Center | 5353 S 960 E, #150, Salt Lake City, UT 84117-3569 | 2012-08-07 |
| 1407149818 | Ameer Internal & Sleep Medicine Consultants | Clinic/Center | 515 E 4500 S, G220, Salt Lake City, UT 84107-4500 | 2011-05-18 |
| 1265684419 | Michael D. Smithers, D.c., P.C. | Clinic/Center | 7084 S 2300 E, Suite #110, Salt Lake City, UT 84121-3968 | 2008-10-21 |
| 1912182494 | Bradd K Christensen M.d.,p.c. | Clinic/Center | 1377 E 3900 S, Ste 104, Salt Lake City, UT 84124-1476 | 2008-01-03 |
| 1598967937 | University Health Care | Clinic/Center | 30 N 1900 E, 3r210, Salt Lake City, UT 84132-2305 | 2007-06-05 |
| 1427265420 | University of Utah Health Care | Clinic/Center | 30 N 1900 E, Salt Lake City, UT 84132-2305 | 2007-05-17 |
| 1164568101 | University of Utah Redwood Center | Clinic/Center | 1525 W 2100 S, Salt Lake City, UT 84119-1401 | 2007-01-29 |
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| 1417596339 | Adams Chiropractic Inc. | Clinic/Center | 3336 S Pioneer Pkwy Ste 202, West Valley City, UT 84120-2080 | 2019-12-23 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1497316905 | The West Clinic Draper | Clinic/Center | 12371 S 900 E, Draper, UT 84020-9833 | 2019-06-25 |
| 1235691510 | Desert Bloom Plastic Surgery LLC | Clinic/Center | 446 S Mall Dr Ste 1, St George, UT 84790-4944 | 2019-04-04 |
| 1568952190 | Bear River Valley Medical LLC | Clinic/Center | 9825 N 10800 W, Tremonton, UT 84337-9222 | 2018-05-18 |
| 1376944942 | Legacy Dermatology | Clinic/Center | 320 W 500 S, Suite 210, Bountiful, UT 84010-7218 | 2014-09-14 |
| 1821417684 | James E Wellman Md | Clinic/Center | 5998 Spring Canyon Rd, Ogden, UT 84403-5476 | 2014-04-09 |
| 1255769386 | Slc Diagnostic Imaging | Clinic/Center | 6202 W Freedom Hill Way, Herriman, UT 84096-6987 | 2013-10-29 |
| 1013269406 | Cnm | Clinic/Center | 4749 S Holladay Blvd, Holladay, UT 84117-5420 | 2012-10-09 |
| 1023381241 | Clifford G Harman | Clinic/Center | 12091 Lampton View Dr, Riverton, UT 84065-7834 | 2012-02-18 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84102 |
Please comment or provide details below to improve the information on INTERMOUNTAIN EAR,NOSE, AND THROAT SPECIALISTS LLC.
| 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.