SKIN PATHOLOGY CONSULTANTS OF UTAH (NPI# 1548308067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548308067 |
| Entity Type | Organization |
| Organization Name | SKIN PATHOLOGY CONSULTANTS OF UTAH |
| Other Organization Name | DERMATOPATHOLOGY CENTER |
| Practice Address |
168 E 5900 S Ste C104 Murray UT 84107-7287 |
| Practice Telephone | 8012613007 |
| Practice Fax Number | 8012636703 |
| Mailing Telephone | 8012613007 |
| Mailing Fax Number | 8012636703 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-10-29 |
| Authorized Official Name | DR. PATRICIA ANN VITALE (DIRECTOR LED) |
| Authorized Official Telephone | 8012613007 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
5228084-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI NUMBER | 1558466177 | 01 | |
| UT | 140649593001 | 05 |
| Other Name | Type Code |
|---|---|
| Dermatopathology Center | Doing Business As Name - Organization |
| Street Address |
168 E 5900 S STE C104 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-7287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013982461 | David Gregg Julian | Dentist | 168 E 5900 S, Suite C-103, Murray, UT 84107-7287 | 2006-02-21 |
| 1558466177 | Patricia A Vitale | Dermatology | 168 E 5900 S, Suite C-104, Murray, UT 84107-7282 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891951091 | J Manuel Zarandona | Pathology | 5121 Cottonwood St, Intermountain Medical Center Dept. of Pathology, Murray, UT 84107-5701 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164404497 | Wayne E Smith | Pathology | 5333 S Adams Ave Parkway, Suite C, Washington Terrace, UT 84405-6946 | 2005-11-14 |
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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.