DOUGLAS STEIN (NPI# 1588928923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588928923 |
| Entity Type | Individual |
| Full Name | DOUGLAS STEIN |
| Credential | MD |
| Practice Address |
5 S 500 W Unit 1205 Salt Lake City UT 84101-4127 |
| Practice Telephone | 2177212265 |
| Mailing Telephone | 2177212265 |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2019-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 27501 | NE | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 123456 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 355 Ridge Ave, Evanston, IL 602023328 | 8473163111 | |
| 5 S 500 W, Salt Lake City, UT 841014120 | 2177212265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799955 | Douglas A. Stein | Pediatrics | 303 South 4th Street, Danville, KY 40422 | 2006-07-27 |
| 1881658987 | Douglas George Stein | Specialist | 3000 E Fletcher Ave, Suite 330, Tampa, FL 33613-4656 | 2006-04-14 |
| Street Address |
5 S 500 W UNIT 1205 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-4127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
| 1750922415 | Woundtech of Utah, Inc. | General Practice | 517 D St, Salt Lake City, UT 84103-2831 | 2019-10-03 |
| 1639430960 | Rita Florian Pingree | General Practice | 350 S 200 E, 400, Salt Lake City, UT 84111-2410 | 2012-06-04 |
| 1437430915 | Carter Brooke Jennings | General Practice | 2811 E 4135 S, Salt Lake City, UT 84124-3043 | 2011-08-29 |
| 1255620068 | Chad Chenoweth | General Practice | 1512 E 3115 S, Salt Lake City, UT 84106-3456 | 2011-04-01 |
| 1154622587 | Wallace Harold Ring | General Practice | 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108-2110 | 2010-11-17 |
| 1639484025 | Fast Track Billing Inc | General Practice | 50 W Broadway, Suite 1000, Salt Lake City, UT 84101-2020 | 2010-08-10 |
| 1639495047 | Martin Richard Buta | General Practice | Department of General Surgery, 30 N. 1900 E., 3b324 Som, Salt Lake City, UT 84132-0001 | 2010-04-09 |
| 1548406325 | Brent Carl James | General Practice | 36 S State St Fl 16, Salt Lake City, UT 84111-1633 | 2008-12-27 |
| 1003069246 | Ted R Schultz Md LLC | General Practice | 866 Padley St, Salt Lake City, UT 84108-1414 | 2008-10-31 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on DOUGLAS STEIN.
| 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.