UTAH PODIATRY GROUP PC (NPI# 1598205494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598205494 |
| Entity Type | Organization |
| Organization Name | UTAH PODIATRY GROUP PC |
| Practice Address |
440 Medical Dr Ste 1 Bountiful UT 84010-4950 |
| Mailing Address |
Po Box 30015 Salt Lake City UT 84130-0015 |
| Practice Telephone | 8012955070 |
| Practice Fax Number | 8017740735 |
| Mailing Telephone | 8014516060 |
| Mailing Fax Number | 8017979154 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2020-04-21 |
| Authorized Official Name | SCOTT A CLARK (DPM/OWNER) |
| Authorized Official Telephone | 8015050821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
8926321-0501 | UT | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | DME PTAN | 6152070010 | 01 |
| UT | MEDICARE PIN | 000063660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1972875524 | Utah Podiatry Group PC | Podiatrist | 2159 S 700 E Ste 150, Salt Lake City, UT 84106 | 2012-01-29 |
| 1659991438 | Utah Podiatry Group PC | Podiatrist | 3435 E Pony Express Pkwy Ste 140, Eagle Mountain, UT 84005-5548 | 2020-04-21 |
| 1942733415 | Utah Podiatry Group PC | Podiatrist | 345 W 600 S, Ste 408, Heber City, UT 84032-2247 | 2017-04-11 |
| 1831575760 | Utah Podiatry Group PC | Podiatrist | 48 W 1500 N, Nephi, UT 84648-8900 | 2015-08-03 |
| 1457737579 | Utah Podiatry Group PC | Podiatrist | 1973 North State Street, Provo, UT 84604-1012 | 2015-07-31 |
| 1023404514 | Utah Podiatry Group PC | Podiatrist | 191 Overthrust Rd, Evanston, WY 82930-9261 | 2015-04-10 |
| 1093081101 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E, Suite 301, Salt Lake City, UT 84102 | 2012-03-23 |
| Street Address |
440 MEDICAL DR STE 1 |
| City | BOUNTIFUL |
| State | UT |
| Zip Code | 84010-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780681775 | Scott Erickson | Family Medicine | 440 Medical Dr, Suite 4, Bountiful, UT 84010-4950 | 2005-07-05 |
| 1851705578 | Wasatch Foot and Ankle Specialists, LLC | Podiatrist | 440 Medical Dr, Suite #2, Bountiful, UT 84010-4950 | 2014-06-20 |
| 1962521120 | G Sam Wilson Md PC | Specialist | 440 Medical Dr, Bountiful, UT 84010-4950 | 2007-03-28 |
| 1033238209 | David Elden Schow | Physician Assistant | 440 Medical Dr, Bountiful, UT 84010-4950 | 2007-03-28 |
| 1972500882 | Scott A Erickson Md, PC | Family Medicine | 440 Medical Dr, Suite 4, Bountiful, UT 84010-4950 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699192 | Jessyca K Willie | Behavior Technician | 415 S. Medical Drive Suite D101, Bountiful, UT 84010 | 2019-06-21 |
| 1336634344 | Shanna Joy Jaggers | Social Worker | 2333 S 200 E, Bountiful, UT 84010 | 2018-06-22 |
| 1447773171 | Live Life Alarms | Emergency Response System Companies | 640 South 500 West, Bountiful, UT 84010 | 2017-07-25 |
| 1902328842 | Hailey Embley | Behavior Technician | 415 Medical Drive D 101, Bountiful, UT 84010 | 2017-07-12 |
| 1508318031 | Beverly Nielsen | Psychologist | 1001 Lakeview Drive, Bountiful, UT 84010 | 2016-11-01 |
| 1295287720 | Samantha Oslund | Speech-Language Pathologist | 415 Medical Dr Ste B102, Bountiful, UT 84010 | 2016-11-01 |
| 1750748273 | Jeremy Clark Morris | Dentist | 59 W 1600 N, Suite 110, Bountiful, UT 84010 | 2016-01-28 |
| 1629464706 | Shane James | Speech-Language Pathologist | 425 Medical Dr Ste 122, Bountiful, UT 84010 | 2015-04-15 |
| 1891186102 | Kenton Francis | Social Worker | 1355 North Main Street #1, Bountiful, UT 84010 | 2015-02-09 |
| 1205233855 | Modern Dental Professionals - Utah, PC | Dentist | 24 S. 500 West, #a, Bountiful, UT 84010 | 2014-11-25 |
| Find all providers in zip 84010 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053334730 | Ryan K Anderson | Podiatrist | 596 W 750 S, Suite 200, Bountiful, UT 84010-7268 | 2006-07-25 |
| 1851705578 | Wasatch Foot and Ankle Specialists, LLC | Podiatrist | 440 Medical Dr, Suite #2, Bountiful, UT 84010-4950 | 2014-06-20 |
| 1023390531 | Robert A Church | Podiatrist | 185 S 400 E, Ste 100, Bountiful, UT 84010-4801 | 2011-09-12 |
| 1639200215 | Ryan K Anderson, Dpm PC | Podiatrist | 596 W 750 S, Suite 200, Bountiful, UT 84010-7268 | 2007-03-08 |
| 1235299561 | Rodney M. Jex Dpm | Podiatrist | 425 Medical Dr, Ste 215, Bountiful, UT 84010-4945 | 2006-12-08 |
| 1194799247 | Bryan L Seagle | Podiatrist | 1551 Renaissance Towne Dr, Suite 370, Bountiful, UT 84010-7667 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721303 | Stride Foot and Ankle Pllc | Podiatrist | 1365 W 1250 S Ste 101, Orem, UT 84058-2303 | 2020-08-18 |
| 1700369014 | Utah Podiatry Group PC | Podiatrist | 6321 S Redwood Rd Ste 102, Taylorsville, UT 84123-6799 | 2018-09-12 |
| 1457847964 | Utah Podiatry Group PC | Podiatrist | 24 S 1100 E Ste 120, Salt Lake City, UT 84102 | 2018-07-09 |
| 1700384930 | Utah Podiatry Group PC | Podiatrist | 82 S 1100 E Ste 301, Salt Lake City, UT 84102 | 2018-01-23 |
| 1447773122 | Apex Foot and Ankle Institute | Podiatrist | 882 N Main St # 2, Richfield, UT 84701-1840 | 2017-07-25 |
| 1902328644 | Weston Charles Packard | Podiatrist | 1561 W 7000 S Ste 201, West Jordan, UT 84084-3556 | 2017-07-14 |
| 1053844753 | Elite Ankle and Foot Pllc | Podiatrist | 39 E Center Street, Gunnison, UT 84634 | 2017-04-10 |
| 1811341621 | Victor Kent Myers | Podiatrist | 754 S Main St Ste 3, St George, UT 84770-5505 | 2016-04-18 |
| 1598119463 | Landon Cameron | Podiatrist | 1490 E Foremaster Dr Ste 250, St George, UT 84790-4501 | 2016-04-18 |
| 1417338161 | Adam Bowen Wood | Podiatrist | 1248 E 90 N Ste 101, American Fork, UT 84003-2954 | 2015-06-17 |
| Find all providers with the same taxonomy | ||||
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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.