LEAH M PEARCE (NPI# 1508264037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508264037 |
Entity Type | Individual |
Full Name | LEAH M PEARCE |
Credential | PA-C |
Practice Address |
3584 W 9000 S Ste 405 West Jordan UT 84088 |
Mailing Address |
3584 W 9000 S Ste 405 West Jordan UT 84088-5712 |
Practice Telephone | 8015683480 |
Practice Fax Number | 8015683482 |
Mailing Telephone | 8015683480 |
Mailing Fax Number | 8015683482 |
Enumeration Date | 2014-12-16 |
Last Update Date | 2019-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1508264037 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2828 Chicago Ave, Suite 200, Minneapolis, MN 554071544 | 6128791000 | 6128790722 |
Street Address |
3584 W 9000 S STE 405 |
City | WEST JORDAN |
State | UT |
Zip Code | 84088 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679587687 | Leslie J Harris | Specialist | 3584 W 9000 S Ste 405, West Jordan, UT 84088-5712 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
Find all providers in zip 84088 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649892829 | Van Martin Stonehocker | Physician Assistant | 755 W Center St, Orem, UT 84057-5365 | 2020-05-11 |
1366004517 | Brock Bodily | Physician Assistant | 10623 S Redwood Rd # 101, South Jordan, UT 84095-2481 | 2019-07-08 |
1891230041 | Sarah Danielle Mendenhall | Physician Assistant | 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 | 2016-12-26 |
1104284124 | Amanda Cummings | Physician Assistant | 30 N 1900 E # 3b110, Salt Lake City, UT 84132-0002 | 2016-02-04 |
1043699101 | Chris Anderson | Physician Assistant | 30 North 1900 East #3c344, Salt Lake City, UT 84132 | 2015-05-22 |
1861895344 | Ariel Black | Physician Assistant | 30 N 1900 E # 3c344, Salt Lake City, UT 84132-0002 | 2014-09-29 |
1336493709 | Monica L Hatch | Physician Assistant | 2132 N 1700 W Ste 200, Layton, UT 84041-7060 | 2012-11-06 |
1912130311 | Andrew M Strong | Physician Assistant | 5323 Woodrow St Ste 202, Salt Lake City, UT 84107-5848 | 2009-09-01 |
1164666061 | Stephen A Loper | Physician Assistant | 1055 N 500 W Ste 211, Provo, UT 84604-3305 | 2009-04-23 |
1982869210 | Scott D Taylor | Physician Assistant | 5323 Woodrow St Ste 102, Murray, UT 84107-5853 | 2008-07-25 |
Find all providers with the same taxonomy |
City | WEST JORDAN |
Zip Code | 84088 |
Please comment or provide details below to improve the information on LEAH M PEARCE.
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.