DR. MICHAEL J DOERMANN (NPI# 1548645195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548645195 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J DOERMANN |
| Credential | D.O. |
| Practice Address |
395 W Bulldog Blvd Fl 6 Provo UT 84604-3311 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013570570 |
| Practice Fax Number | 8013577198 |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 6679446-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1548645195 | 05 |
| Street Address |
395 W BULLDOG BLVD FL 6 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639564495 | Justin Norman Jones | Internal Medicine | 395 W Bulldog Blvd Ste 602, Provo, UT 84604 | 2015-03-30 |
| 1417247677 | Beau Bailey | Internal Medicine | 1134 N 500 W Ste 101, Provo, UT 84604-5569 | 2011-04-08 |
| 1720222979 | Morris David Gardner | Internal Medicine | 1784 N. 1450 E., Provo, UT 84604 | 2009-04-30 |
| 1629247358 | Chad Brigham Kimball | Internal Medicine | 1145 Quail Summit Dr, Provo, UT 84604 | 2008-02-27 |
| 1801854021 | Kirk R Anderson | Internal Medicine | 306 River Bend Ln, Provo, UT 84604-5625 | 2006-05-04 |
| 1578079059 | Ihc Health Services Inc | Internal Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1821520966 | Stephanie K Isaacs | Internal Medicine | 1034 N 500 W, Provo, UT 84604-3380 | 2017-03-29 |
| 1215323399 | Zachary John Pugh | Internal Medicine | 1134 N 500 W, Provo, UT 84604-3383 | 2015-04-15 |
| 1750701561 | Mckellan Binkley | Internal Medicine | 475 W 940 N, Provo, UT 84604-3301 | 2014-04-18 |
| 1053668806 | Albert Rivero | Internal Medicine | 1134 N 500 W Ste 101, Provo, UT 84604-5569 | 2012-08-11 |
| Find all providers in PROVO | ||||
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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.