UTAH PODIATRY GROUP PC (NPI# 1518239177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518239177 |
| Entity Type | Organization |
| Organization Name | UTAH PODIATRY GROUP PC |
| Other Organization Name | ADVANCED FOOT AND ANKLE |
| Practice Address |
8822 S Redwood Rd Suite E121 West Jordan UT 84088-9336 |
| Mailing Address |
Po Box 30015 Salt Lake City UT 84130-0015 |
| Practice Telephone | 8015055277 |
| Practice Fax Number | 8015055280 |
| Mailing Telephone | 8014516060 |
| Mailing Fax Number | 8017979154 |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | DR. SCOTT A CLARK (PRESIDENT) |
| Authorized Official Telephone | 8015055277 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | Y |
| Parent Organization Name | UTAH PODIATRY GROUP PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| Other Name | Type Code |
|---|---|
| ADVANCED FOOT AND ANKLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1659991438 | Utah Podiatry Group PC | Podiatrist | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | 2020-04-21 |
| 1942733415 | Utah Podiatry Group PC | Podiatrist | 345 W 600 S, Ste 408, Heber City, UT 84032-2247 | 2017-04-11 |
| 1598205494 | Utah Podiatry Group PC | Podiatrist | 440 Medical Dr, Ste 1, Bountiful, UT 84010-4950 | 2017-02-27 |
| 1831575760 | Utah Podiatry Group PC | Podiatrist | 48 W 1500 N, Nephi, UT 84648-8900 | 2015-08-03 |
| 1457737579 | Utah Podiatry Group PC | Podiatrist | 1973 North State Street, Provo, UT 84604-1012 | 2015-07-31 |
| 1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
| Street Address |
8822 S REDWOOD RD SUITE E121 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-9336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629038716 | Duane A Bates | Physician Assistant | 8822 S Redwood Rd, Suite E122, West Jordan, UT 84088-9336 | 2006-03-24 |
| 1548545338 | Biomechanics Institute Pllc | Podiatrist | 8822 S Redwood Rd, Suite C211, West Jordan, UT 84088-9336 | 2011-10-12 |
| 1801186838 | Molly Montes | Pediatrics | 8822 S Redwood Rd, Ste C211, West Jordan, UT 84088-9336 | 2011-04-11 |
| 1255621280 | Scott R Hollingsworth | Podiatrist | 8822 S Redwood Rd, Suite C211, West Jordan, UT 84088-9336 | 2011-04-11 |
| 1225358765 | Utah-mua | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-06-07 |
| 1093033250 | Numb Institute, LLC | Specialist | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-05-12 |
| 1740508902 | Ut-mua, Inc. | Clinic/Center | 8822 S Redwood Rd, Suite C113, West Jordan, UT 84088-9336 | 2010-05-12 |
| 1467775403 | Jeffrey Michael Pollock | Physician Assistant | 8822 S Redwood Rd, Suite C111, West Jordan, UT 84088-9336 | 2010-03-04 |
| 1770812034 | Utah Pain Relief North LLC | Clinic/Center | 8822 S Redwood Rd, West Jordan, UT 84088-9336 | 2009-12-16 |
| 1013140011 | Rocky Mountain Therapy Services West Jordan LLC | Physical Therapist | 8822 S Redwood Rd, Suite E122, West Jordan, UT 84088-9336 | 2009-08-25 |
| Find all providers in the same location | ||||
| 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 | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
| 1316325590 | Daniel Hansen | Podiatrist | 5801 S Fashion Blvd Ste 120, Murray, UT 84107 | 2015-05-08 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
Please comment or provide details below to improve the information on UTAH PODIATRY GROUP PC.
| 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.