SUMMIT PHYSICIAN SPECIALISTS (NPI# 1518403641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518403641 |
| Entity Type | Organization |
| Organization Name | SUMMIT PHYSICIAN SPECIALISTS |
| Practice Address |
5444 S Green St Murray UT 84123-5632 |
| Practice Telephone | 8012628120 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MR. DOUG HANSEN (CEO) |
| Authorized Official Telephone | 8012841718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
5444 S GREEN ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316949316 | Duane Blatter | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2005-08-10 |
| 1700301637 | Dallin Shaw Gallacher | Physician Assistant | 5444 S Green St, Murray, UT 84123-5632 | 2017-08-11 |
| 1326418351 | Miranda Terry Mitchell | Physician Assistant | 5444 S Green St, Murray, UT 84123-5632 | 2015-10-02 |
| 1245609866 | Joshua Peay | Physician Assistant | 5444 S Green St, Murray, UT 84123-5632 | 2015-09-24 |
| 1194100651 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1285019737 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1386067478 | Brett Sheldon Walker | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2014-01-27 |
| 1518306240 | Zachary Regan Krahn | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2013-06-16 |
| 1386902120 | Emily Rae Johnson | Radiology | 5444 S Green St, Murray, UT 84123 | 2012-04-30 |
| 1083984512 | Ben V Christensen | Physician Assistant | 5444 S Green St, Murray, UT 84123-5632 | 2011-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1801975461 | Kevin C Funk | Radiology | 5444 South Green Street, Murray, UT 84123 | 2006-11-03 |
| 1497789523 | Radiology Associates of Murray, Pllc | Radiology | Murray Calloway County Hospital, 803 Poplar St, Murray, KY 42071 | 2006-07-11 |
| 1316949316 | Duane Blatter | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2005-08-10 |
| 1275530289 | W Robert Brinton | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2005-07-05 |
| 1639175144 | Jonathan Scott Silverstein | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2005-06-21 |
| 1194100651 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1285019737 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1447661053 | Roger Stimpson | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2014-05-16 |
| 1770900672 | Eric M Hu | Radiology | 5169 S Cottonwood St, Murray, UT 84107-6767 | 2014-03-28 |
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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.