PHYSICIANS SERVICE GROUP, INC. (NPI# 1568644771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568644771 |
Entity Type | Organization |
Organization Name | PHYSICIANS SERVICE GROUP, INC. |
Practice Address |
7369 East 2223 South Salt Lake City UT 84109 |
Mailing Address |
Po Box 9126 Salt Lake City UT 84109-0126 |
Practice Telephone | 8016641281 |
Mailing Telephone | 8016641281 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2007-11-29 |
Authorized Official Name | GUY KIM DEHART (PRESIDENT) |
Authorized Official Telephone | 8016641281 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Street Address |
7369 EAST 2223 SOUTH |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
Find all providers in zip 84109 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639704208 | Salt Lake Surgery Center, LLC | Clinic/Center | 1046 E 100 S Ste D, Salt Lake City, UT 84102-1520 | 2020-03-04 |
1952720674 | Bountiful Surgery Center, LLC | Clinic/Center | 6360 S 3000 E Ste 320, Salt Lake City, UT 84121-6932 | 2014-04-09 |
1932407277 | Stephen H Bennett Md PC | Clinic/Center | 1045 E 3900 S Ste 201, Salt Lake City, UT 84124-1192 | 2011-03-10 |
1780885442 | Lyssa Inc | Clinic/Center | 530 E 500 S, Salt Lake City, UT 84102-2746 | 2007-05-30 |
1790906204 | Ear, Nose & Throat Surgery Center of Utah LLC | Clinic/Center | 22 S 900 E Ste 2, Salt Lake City, UT 84102-1307 | 2007-05-01 |
1164647707 | Ihc Health Services, Inc. | Clinic/Center | 359 8th Ave, Salt Lake City, UT 84103-2895 | 2007-04-17 |
1922148063 | The Surgery Center At Salt Lake Regional, L.L.C. | Clinic/Center | 82 South 1100 East, Suite 200, Salt Lake City, UT 84102 | 2007-02-07 |
1881701290 | Wasatch Endoscopy Center Ltd | Clinic/Center | 1220 E 3900 S Ste 1b, Salt Lake City, UT 84124-1327 | 2006-08-23 |
1609896216 | Salt Lake Endoscopy Center | Clinic/Center | 24 S 1100 E Ste 103, Salt Lake City, UT 84102-1592 | 2006-07-20 |
1356395586 | Physicians Surgery Center, LLC | Clinic/Center | 1485 E 3900 S, Salt Lake City, UT 84124-1412 | 2006-05-20 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84109 |
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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.