DR. THOMAS MARTIN KILBRIDGE


Address: 4021 S 700 E, Suite 300, Salt Lake City, UT 84107-2192
Phone: 8007327176

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
C33702 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4021 S 700 E
SUITE 300
City SALT LAKE CITY
State UT
Zip Code 84107-2192

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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City SALT LAKE CITY
Zip Code 84107

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Dataset Information

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.

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