WESTSIDE MEDICAL PC (NPI# 1558439117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558439117 |
| Entity Type | Organization |
| Organization Name | WESTSIDE MEDICAL PC |
| Practice Address |
1477 North 2000 West Clinton UT 84015-8213 |
| Practice Telephone | 8017748888 |
| Practice Fax Number | 8018258519 |
| Mailing Telephone | 8017748888 |
| Mailing Fax Number | 8018258519 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2009-10-05 |
| Authorized Official Name | SUSAN SEPER (ADMINISTRATOR) |
| Authorized Official Telephone | 8017748888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
1477 NORTH 2000 WEST |
| City | CLINTON |
| State | UT |
| Zip Code | 84015-8213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356447882 | Mark Goodrich | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-15 |
| 1881801579 | Samantha P Bostrom | Pediatrics | 1477 North 2000 West, Suite C, Clinton, UT 84015-8213 | 2007-05-16 |
| 1780780791 | Cassandra Child Bingham | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-16 |
| 1114023124 | Elmo Lee Taylor | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-16 |
| 1942306956 | Ronald Gary Drescher | Physician Assistant | 1477 North 2000 West, Westside Medical, Clinton, UT 84015 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235751900 | Roe Rx Inc | Pharmacy | 145 S 3000 W, West Point, UT 84015 | 2020-05-15 |
| 1619459104 | Jaime W Jones | Registered Nurse | 412 North 4950 West, West Point, UT 84015 | 2018-08-31 |
| 1295272557 | Wendy Fleming | Registered Nurse | 22 So. State Street, Davis County Health Dept, Clearfield, UT 84015 | 2017-01-25 |
| 1871041707 | Megan Claire Mannen | Optometrist | 1448 N 2000 W Ste 3, Clinton, UT 84015 | 2016-09-20 |
| 1093118291 | April Riney | Counselor | 189 S State St Ste 235b, Clearfield, UT 84015 | 2014-10-01 |
| 1457779381 | Katherine Olsen | Registered Nurse | 22 S. State St., Clearfield, UT 84015 | 2014-03-28 |
| 1336560218 | Lauren April Call | Registered Nurse | 22 S. State St, Clearfield, UT 84015 | 2013-12-19 |
| 1568803377 | John Gaspare Rino | Physical Therapist | 29 C St, Clearfield, UT 84015 | 2013-07-09 |
| 1912243247 | Clinton Dental Group, LLP | Dentist | 1737 North 2000 West, Suite G, Clinton, UT 84015 | 2012-12-13 |
| 1639441264 | Kim I Beus | Nurse Practitioner | 383 E 1900 S, Clearfield, UT 84015 | 2012-01-27 |
| Find all providers in zip 84015 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821598103 | Own My Anger (oma) | Clinic/Center | 7902 Old Branch Ave Ste 107, Clinton, MD 20735-1627 | 2018-02-13 |
| 1124419296 | Jasmer Health LLC | Clinic/Center | 1536 N 1375 W, Clinton, UT 84015-6731 | 2015-02-11 |
| 1669722583 | Northern Utah Counseling | Clinic/Center | 1387 W 1800 N, Clinton, UT 84015-8942 | 2012-09-18 |
| 1184671489 | Jackson Eye Associates Pllc | Clinic/Center | 102 Clinton Pkwy, Third Floor, Clinton, MS 39056-4730 | 2006-05-30 |
| 1437109923 | Hospital of Fulton Inc | Clinic/Center | 351 Moss Dr, Clinton, KY 42031-1321 | 2006-05-12 |
| 1558999516 | Susie Chiropractic Pllc | Clinic/Center | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2020-03-27 |
| 1396379830 | Golden Valley Memorial Hospital District | Clinic/Center | 603 E Gaines Dr, Clinton, MO 64735-3205 | 2020-02-24 |
| 1114301660 | Compass Health, Inc. | Clinic/Center | 1800 Community, Clinton, MO 64735-8804 | 2015-07-15 |
| 1568854636 | Still I Rise, Inc | Clinic/Center | 9023 Woodyard Rd, Clinton, MD 20735-4208 | 2015-02-26 |
| 1174868285 | Ortonville Area Health Services | Clinic/Center | 324 Main St, Clinton, MN 56225 | 2012-11-29 |
| Find all providers in CLINTON | ||||
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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.