JENNA WHITHAM (NPI# 1528452612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528452612 |
| Entity Type | Individual |
| Full Name | JENNA WHITHAM |
| Credential | MD |
| Practice Address |
3723 W 12600 S Ste 330 Riverton UT 84065-7309 |
| Mailing Address |
2789 S Hartford St Salt Lake City UT 84106-3652 |
| Practice Telephone | 8012854543 |
| Practice Fax Number | 8012854540 |
| Mailing Telephone | 9704817795 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2019-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 10787235-1205 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1935 Medical District Dr, Dallas, TX 752357701 | 2144562735 |
| Street Address |
3723 W 12600 S STE 330 |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316920770 | Shellie J Ring | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2005-11-21 |
| 1255793824 | Jennifer Mijer | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2016-03-23 |
| 1386987055 | Katherine Wingate Quayle | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2013-04-01 |
| 1740557529 | Melanie M Ward | Social Worker | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2011-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851609564 | Pediatric Inpatient Services Riverton | Pediatrics | 3741 W 126000 S, Riverton, UT 84065 | 2010-09-15 |
| 1417101296 | Sadie M West | Pediatrics | 3723 West 12600 South, Suite 450, Riverton, UT 84065 | 2008-11-06 |
| 1164633715 | Stasha S Lewis | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065-7296 | 2007-05-25 |
| 1316920770 | Shellie J Ring | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2005-11-21 |
| 1255793824 | Jennifer Mijer | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7309 | 2016-03-23 |
| 1043671985 | University of Utah Pediatric Services | Pediatrics | 3741 W 12600 S, Riverton, UT 84065-7215 | 2016-03-18 |
| 1073907119 | Melissa Mays Kadish | Pediatrics | 3723 W 12600 S Ste 150, Riverton, UT 84065 | 2015-03-26 |
| 1386987055 | Katherine Wingate Quayle | Pediatrics | 3723 W 12600 S Ste 330, Riverton, UT 84065-7296 | 2013-04-01 |
| 1649541699 | Granger Medical Clinic, PC | Pediatrics | 1288 W 12700 S, Riverton, UT 84065-6794 | 2012-01-23 |
| 1366735466 | Rendezvous Medical | Pediatrics | 1035 Rose Ln, Suite B, Riverton, WY 82501-2286 | 2011-05-23 |
| Find all providers in RIVERTON | ||||
Please comment or provide details below to improve the information on JENNA WHITHAM.
| 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.