RUSSELL STEVEN ANDERSON (NPI# 1548407513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548407513 |
| Entity Type | Individual |
| Full Name | RUSSELL STEVEN ANDERSON |
| Credential | D.O. |
| Practice Address |
1550 N Main St Suite E Layton UT 84041-1757 |
| Mailing Address |
Po Box 30180 Salt Lake City UT 84130-0180 |
| Practice Telephone | 8016149030 |
| Practice Fax Number | 8016149040 |
| Mailing Telephone | 4357435591 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2016-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5148252-8904 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 5148252-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1548407513 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895473 | Russell Dan Anderson | Registered Nurse | 4428 Sw 105th Dr, Gainesville, FL 32608-7139 | 2020-09-10 |
| 1124328794 | Russell E Anderson | Pharmacist | 1258 S Route 12, Fox Lake, IL 60020-1950 | 2010-10-28 |
| 1760538037 | Russell Lee Anderson | Family Medicine | 78270 Highway 1081, Covington, LA 70435-4646 | 2007-01-26 |
| 1801963376 | Russell Anderson | Internal Medicine | 514 North Brightleaf Blvd Suite 1100, Smithfield, NC 27577 | 2006-11-29 |
| 1982228235 | Russell Anderson | Psychologist | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2020-06-02 |
| 1972965937 | Russell Anderson | Social Worker | 150 Shoup Ave, Idaho Falls, ID 83402-3657 | 2016-03-28 |
| 1619175288 | Russell N Anderson | Chiropractor | 20825 South St, Suite A, Tehachapi, CA 93561-6438 | 2007-07-05 |
| 1689885436 | Russell L. Anderson | Orthopaedic Surgery | 1150 45th St, West Palm Beach, FL 33407-2361 | 2007-05-24 |
| 1609097260 | Russell D Anderson | Chiropractor | 128 North Oakwood Road, Enid, OK 73703-4946 | 2007-05-01 |
| 1013043009 | Russell Scott Anderson | Specialist | 1704 23rd Ave, Meridian, MS 39301-3103 | 2007-02-26 |
| Street Address |
1550 N MAIN ST SUITE E |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336255991 | After Hours Medical Company | Internal Medicine | 1550 N Main St, Suite C, Layton, UT 84041-1757 | 2006-08-23 |
| 1053362152 | Gregory Preston Schroeder | Physical Therapist | 1550 N Main St, Suite C, Layton, UT 84041-1757 | 2006-05-13 |
| 1083675128 | Daniel Offret | Physician Assistant | 1550 N Main St, Layton, UT 84041-1757 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595497 | Regenerative Medicine of Utah, LLC | Family Medicine | 2297 N Hill Field Rd Ste 101, Layton, UT 84041-6927 | 2019-12-20 |
| 1710496047 | Benjamin T Dedrickson | Family Medicine | 1580 W Antelope Dr Ste 110, Layton, UT 84041-1153 | 2017-09-29 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| 1891193504 | Onsite Care At Davis Hospital | Family Medicine | 1508 W Antelope Dr., Suite 110, Layton, UT 84041 | 2014-12-11 |
| 1013047521 | Kaysville Clinic, LLC | Family Medicine | 934 S Main, Layton, UT 84041-4250 | 2007-03-06 |
| 1538220306 | Layton Family Practice LLC | Family Medicine | 2950 N Church St Ste 200, Layton, UT 84040-6590 | 2006-12-13 |
| 1912091422 | Paul Ray Taylor | Family Medicine | 124 South Fairfield Rd, Layton, UT 84041 | 2006-10-02 |
| 1366449241 | Adam Nebeker | Family Medicine | 2075 N 1200 W, Layton, UT 84041-1616 | 2005-07-07 |
| 1588227797 | Dane Phillip Lyman | Family Medicine | 201 W Layton Pkwy Ste 1a, Layton, UT 84041-3692 | 2019-04-15 |
| 1497207872 | Eclipse Medical LLC | Family Medicine | 1660 W Antelope Dr, Ste 320, Layton, UT 84041-1156 | 2016-11-01 |
| Find all providers in LAYTON | ||||
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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.