MARY GRETCHEN MOOERS (NPI# 1609823889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609823889 |
| Entity Type | Individual |
| Full Name | MARY GRETCHEN MOOERS |
| Credential | MD |
| Practice Address |
324 Tenth Ave Suite # 160 Salt Lake City UT 84103-2853 |
| Practice Telephone | 8014085151 |
| Practice Fax Number | 8014083598 |
| Mailing Telephone | 8014085151 |
| Mailing Fax Number | 8014083598 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
173770-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | IHC | 00558 | 01 |
| UT | ALTIUS PROVIDER # | 224999 | 01 |
| UT | 2099000 | 05 | |
| UT | EDUCATORS MUTUAL # | 870623071M01 | 01 |
| UT | UHC | 9200054 | 01 |
| UT | TRICARE # | 274 | 01 |
| UT | DESERET MUTUAL | 2748 | 01 |
| UT | MOLINA # | 357645 | 01 |
| UT | PEHP # | 71116 | 01 |
| Street Address |
324 TENTH AVE SUITE # 160 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770580078 | Patrice Ferron Hirning | Internal Medicine | 324 Tenth Ave, Suite 200, Salt Lake City, UT 84103-2853 | 2005-06-30 |
| 1114101235 | William Joseph Peche, Jr. M.d. P.l.l.c. | Colon & Rectal Surgery | 324 Tenth Ave, Suite 280, Salt Lake City, UT 84103-2853 | 2007-12-26 |
| 1912181421 | Colon & Rectal Center of Utah P C | Specialist | 324 Tenth Ave, #280, Salt Lake City, UT 84103-2853 | 2007-12-19 |
| 1134159288 | James Russell Grua | Internal Medicine | 324 Tenth Ave, Suite 285, Salt Lake City, UT 84103-2853 | 2006-07-04 |
| 1710931191 | Newel Branson Call | Specialist | 324 Tenth Ave, #185, Salt Lake City, UT 84103-2853 | 2006-05-20 |
| 1043288368 | Jeffrey S Osborn | Internal Medicine | 324 Tenth Ave, 206, Salt Lake City, UT 84103-2853 | 2006-03-11 |
| 1669440152 | Viet Le | Physician Assistant | 324 Tenth Ave, 206, Salt Lake City, UT 84103-2853 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265851273 | Carlos Christian Cueva | Internal Medicine | Uumc 30 N 1900 E 4b319, Salt Lake City, UT 84132-3901 | 2014-04-08 |
| 1780979799 | Allan M. Seibert | Internal Medicine | 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 | 2011-06-17 |
| 1740487784 | Rahul Anand | Internal Medicine | 30 N 1900 E, Rm 4b319som, Salt Lake City, UT 84132 | 2007-07-02 |
| 1093878860 | Kimberly Hanson | Internal Medicine | 30 N 1900e School of Medicine, University of Utah, Salt Lake City, UT 84108 | 2006-12-19 |
| 1669551172 | David Carey Classen | Internal Medicine | 561 Northmont Way, Salt Lake City, UT 84103-3324 | 2006-11-03 |
| 1285717140 | Charles Bryan Smith | Internal Medicine | 159 W Broadway, #411, Salt Lake City, UT 84101-1907 | 2006-10-23 |
| 1760400865 | Marquam R Oliver | Internal Medicine | 1160 E 3900 S., Suite 1200, Salt Lake City, UT 84124 | 2006-07-17 |
| 1477061125 | Alva Liliana Trejo | Internal Medicine | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2018-01-16 |
| 1770013914 | Judd R. Payne | Internal Medicine | 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 | 2017-06-19 |
| 1750811659 | Jonathan Pham | Internal Medicine | 30 N 1900 E Rm 4b319, Salt Lake City, UT 84132-0002 | 2017-06-14 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
Please comment or provide details below to improve the information on MARY GRETCHEN MOOERS.
| 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.