DR. THOMAS MARTIN KILBRIDGE (NPI# 1609966423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609966423 |
| Entity Type | Individual |
| Full Name | DR. THOMAS MARTIN KILBRIDGE |
| Credential | MD |
| Practice Address |
4021 S 700 E Suite 300 Salt Lake City UT 84107-2192 |
| Mailing Address |
731 Jacaranda Cir Hillsborough CA 94010-6556 |
| Practice Telephone | 8007327176 |
| Practice Fax Number | 8012846753 |
| Mailing Telephone | 6503470947 |
| Mailing Fax Number | 6503470947 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
C33702 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4021 S 700 E SUITE 300 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84107-2192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699729129 | Wilbert Abram Lyons | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-05-20 |
| 1629269188 | Kirit J Desai | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2184 | 2007-08-08 |
| 1326251752 | Rene Brown Ledbetter Jr. | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-08 |
| 1275745838 | James Edward Weiss | Dermatology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-05-04 |
| 1164558607 | Daria M Ivan | Physical Therapist | 4021 S 700 E, Ste. 300, Salt Lake City, UT 84107-2192 | 2007-02-26 |
| 1881737864 | Thomas Leo Bodensteiner | Obstetrics & Gynecology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2007-02-15 |
| 1174600787 | Renee Warren | Pathology | 4021 S 700 E, #300, Salt Lake City, UT 84107-2192 | 2006-11-01 |
| 1518057025 | Boris Serrano Imperial | Psychiatry & Neurology | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-13 |
| 1164512216 | William Siegel | Internal Medicine | 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192 | 2006-10-12 |
| 1851489215 | Michael John Lynch | Internal Medicine | 4021 S 700 E, Suite300, Salt Lake City, UT 84107-2192 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123172 | Scott Marriner Browning | Internal Medicine | 2318 E Field Rose Dr, Salt Lake City, UT 84121-1500 | 2017-06-08 |
| 1356745137 | University of Utah Adult Services | Internal Medicine | 1950 E Circle of Hope Drive, Salt Lake City, UT 84112 | 2014-10-22 |
| 1982049227 | Bryan D Huber | Internal Medicine | 8th Avenue & C Street E8, Salt Lake City, UT 84143-3403 | 2013-04-30 |
| 1457664005 | Sabarinath Venniyil Radhakrishna | Internal Medicine | 2000 Circle of Hope, Suite 2100, Huntsman Cancer Institute, Salt Lake City, UT 84112 | 2010-07-23 |
| 1225164114 | Finn Bo Petersen | Internal Medicine | E8 Lds Hospital, 8th Avenue and C Street, Salt Lake City, UT 84143-0001 | 2007-02-26 |
| 1699775767 | Sunil Sharma | Internal Medicine | 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 | 2005-07-29 |
| 1750380176 | Alton Harvey Wagnon | Internal Medicine | 2890 E Cottonwood Pkwy, Salt Lake City, UT 84121-7035 | 2005-07-18 |
| 1679094700 | Haoran Li | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-06-28 |
| 1912435579 | Shashank Sama | Internal Medicine | 30 N 1900 E Rm 5c402, Salt Lake City, UT 84132-0002 | 2017-05-26 |
| 1487018040 | University of Utah Pediatric Services | Internal Medicine | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84107 |
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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.