KIM C BERTIN (NPI# 1568456242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568456242 |
Entity Type | Individual |
Full Name | KIM C BERTIN |
Credential | MD |
Practice Address |
24 S 1100 E Ste 101 Salt Lake City UT 84102-1500 |
Practice Telephone | 8013556468 |
Practice Fax Number | 8013553450 |
Mailing Telephone | 8013556468 |
Mailing Fax Number | 8013553450 |
Enumeration Date | 2005-09-08 |
Last Update Date | 2011-08-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
164111-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
24 S 1100 E STE 101 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84102-1500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801888748 | Thomas R Calame | Internal Medicine | 24 S 1100 E, Ste 105, Salt Lake City, UT 84102-1500 | 2005-08-17 |
1902277908 | Tia Peterson | Nurse Practitioner | 24 S 1100 E, #201, Salt Lake City, UT 84102-1500 | 2015-10-15 |
1205222627 | Brittney Balogh, Md, PC | Surgery | 24 S 1100 E, Suite 302, Salt Lake City, UT 84102-1500 | 2015-04-13 |
1215325576 | Daniel Camp | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2015-01-08 |
1649681065 | Margy Batson LLC | Clinic/Center | 24 S 1100 E, Suite 209, Salt Lake City, UT 84102-1500 | 2014-05-20 |
1821421983 | Eric C. Chenworth, D.o.,p.c. | Allergy & Immunology | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2013-08-13 |
1699010769 | Joanne Sumpio Hinson Md Pllc | Obstetrics & Gynecology | 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 | 2012-11-30 |
1376887927 | Eric C Chenworth D O P C | Clinic/Center | 24 S 1100 E, Suite 201, Salt Lake City, UT 84102-1500 | 2012-11-20 |
1710262860 | Patricia Jean Romney Church | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-10-19 |
1861776494 | Jordan Robert Mcqueen | Physician Assistant | 24 S 1100 E, Suite 101, Salt Lake City, UT 84102-1500 | 2011-09-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942818604 | Wendy Vazquez | Behavior Technician | 515 S 700 E Suit 2a, Salt Lake City, UT 84102 | 2020-07-20 |
1407481245 | Odyssey House Inc | Family Medicine | 743 E 300 S, Salt Lake City, UT 84102 | 2020-03-11 |
1093359960 | Hayle Mayer | Behavior Technician | 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 | 2019-11-04 |
1326680869 | Ronald Mcdonald House of The Intermountain Area | Meals | 935 E. South Temple, Salt Lake City, UT 84102 | 2019-10-16 |
1508419581 | Claire Pemberton | Behavior Technician | 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 | 2019-07-19 |
1558923144 | Olivia Anne Hardwick | Social Worker | Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 | 2019-07-03 |
1649741802 | Colten Vancampen | Behavior Technician | 515 S 700 E #2a, Salt Lake City, UT 84102 | 2018-12-16 |
1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
1104311661 | Malorey Kooyman | Behavior Technician | 515 700 East, Suite 2a, Salt Lake City, UT 84102 | 2018-06-27 |
1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
Find all providers in zip 84102 |
Taxonomy Code | 207XS0114X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Adult Reconstructive Orthopaedic Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942292446 | Bruce G Evans | Orthopaedic Surgery | 1160 East 3900 South, Suite 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
1740676394 | Matthew C. Christie | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2015-04-10 |
1437579893 | Steven Donohoe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2014-04-23 |
1548410608 | G Lynn Rasmussen Md PC | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2008-09-25 |
1366624991 | Nathan G Momberger Md PC | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 | 2007-12-05 |
1073505582 | Michael H Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083953558 | Russell L Nelson, M.d. PC | Orthopaedic Surgery | 5323 S Woodrow St Ste 200, Murray, UT 84107-5844 | 2013-02-04 |
1669416129 | John M Hillyard | Orthopaedic Surgery | 1899 E Mystic Grove Cv, Cottonwood Heights, UT 84093-5509 | 2006-06-15 |
1063645554 | Yvonne Potter Fuellenbach | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2009-08-31 |
1326286972 | Peter G. Larcom Md PC | Orthopaedic Surgery | 5323 South Woodrow Street Suite 200, Murray, UT 84107 | 2009-02-04 |
1366460420 | G Lynn Rasmussen | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2006-07-17 |
1467486795 | Nathan G Momberger | Orthopaedic Surgery | 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 | 2006-07-11 |
1821029869 | Peter G Larcom | Orthopaedic Surgery | 5316 S Woodrow St Ste 200, Murray, UT 84107-5838 | 2006-07-06 |
City | SALT LAKE CITY |
Zip Code | 84102 |
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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.