UTAH CENTER FOR MEDICAL WEIGHT LOSS, LLC (NPI# 1558611418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558611418 |
| Entity Type | Organization |
| Organization Name | UTAH CENTER FOR MEDICAL WEIGHT LOSS, LLC |
| Practice Address |
9829 S 1300 E Ste 302 Sandy UT 84094-4000 |
| Practice Telephone | 8017272035 |
| Practice Fax Number | 8015727779 |
| Mailing Telephone | 8017272035 |
| Mailing Fax Number | 8015727779 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-10-25 |
| Authorized Official Name | DR. ANDREW M HEINER (MD/OWNER) |
| Authorized Official Telephone | 8016199000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
9829 S 1300 E STE 302 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518046283 | T and R Pharmaceutical LLC | Pharmacy | 9829 S 1300 E, Suite 100, Sandy, UT 84094-4000 | 2006-11-03 |
| 1265976500 | Daniel Breisch | Pharmacist | 9829 S 1300 E, Suuite 100, Sandy, UT 84094-4000 | 2016-12-06 |
| 1518341395 | Louis Keith Jessop | Dentist | 9829 S 1300 E, #201, Sandy, UT 84094-4000 | 2015-07-12 |
| 1295162444 | Marguerite King Marschner | Physician Assistant | 9829 S 1300 E, Suite 303, Sandy, UT 84094-4000 | 2013-10-02 |
| 1578711057 | Breony Stoddard | Physician Assistant | 9829 S 1300 E, Suite 101, Sandy, UT 84094-4000 | 2008-09-08 |
| 1568618213 | Justin J Woodward | Dentist | 9829 S 1300 E, Suite 102, Sandy, UT 84094-4000 | 2008-08-13 |
| 1972760106 | John David Schmidt | Internal Medicine | 9829 S 1300 E, Suite 300 Granite Peaks Gastroenterology, Sandy, UT 84094 | 2008-05-16 |
| 1376714907 | Metwest Inc | Clinical Medical Laboratory | 9829 S 1300 E, Ste 302, Sandy, UT 84094-4000 | 2008-03-24 |
| 1497941603 | Premier Plastic Surgery Group of Utah, L.L.C. | Specialist | 9829 S 1300 E, 200, Sandy, UT 84094-4000 | 2007-09-20 |
| 1801937263 | Vernon Dewaine Potter | Family Medicine | 9829 S 1300 E, Suite 302, Sandy, UT 84094-4000 | 2007-02-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477112464 | Protectus Wound Care | Specialist | 4 Ravenwood Ln, Sandy, UT 84092-4849 | 2019-06-12 |
| 1164852224 | John Librett | Specialist | 1151 E Castle Rock Rd, Sandy, UT 84094-5688 | 2013-11-26 |
| 1568803773 | Russell L. Sorensen LLC | Specialist | 9844 S 1300 E Ste 250, Sandy, UT 84094-4691 | 2013-07-16 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1053628214 | Melissa Knowles | Specialist | 37640 Green Mountain St, Sandy, OR 97055-6366 | 2010-09-09 |
| 1457670713 | Darrin F Hansen M.d. P.C. | Specialist | 9720 S 1300 E Ste W110, Sandy, UT 84094-3765 | 2010-05-26 |
| 1649424888 | Reproductive Care Associates | Specialist | 10150 Petrunia Way, Sandy, UT 84092-4380 | 2008-11-14 |
| 1558521385 | Gary F Larsen | Specialist | 7610 Caballero Dr, Sandy, UT 84093-6238 | 2008-06-16 |
| 1962475350 | Keith L. Blauer | Specialist | 10150 Petunia Way, Sandy, UT 84092-4380 | 2006-02-08 |
| 1922091230 | Charles Darrell Katz | Specialist | 9450 S 1300 E, Sandy, UT 84094-5555 | 2005-08-23 |
| Find all providers in SANDY | ||||
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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.