UTAH CANCER SPECIALISTS PC


Address: 3838 S 700 E Ste 100, Salt Lake City, UT 84106-1494
Phone: 8012690231

UTAH CANCER SPECIALISTS PC (NPI# 1619925369) 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) 1619925369
Entity Type Organization
Organization Name UTAH CANCER SPECIALISTS PC
Other Organization Name UTAH CANCER SPECIALISTS
Practice Address 3838 S 700 E Ste 100
Salt Lake City
UT 84106-1494
Mailing Address 1121 E 3900 S Ste C230
Salt Lake City
UT 84124-1297
Practice Telephone 8012690231
Practice Fax Number 8012690304
Mailing Telephone 8012629494
Mailing Fax Number 8012662074
Enumeration Date 2006-05-05
Last Update Date 2019-06-12
Authorized Official Name RANDY ERICKSON (CEO)
Authorized Official Telephone 8012629494
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0000X Internal Medicine
Specialization: Hematology
38662A UT Allopathic & Osteopathic Physicians
N 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
UT Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
Allopathic & Osteopathic Physicians
N 2081P2900X Physical Medicine & Rehabilitation
Specialization: Pain Medicine
Allopathic & Osteopathic Physicians
N 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians
N 363A00000X Physician Assistant UT Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner UT Physician Assistants & Advanced Practice Nursing Providers
N 291U00000X Clinical Medical Laboratory Laboratories
Y 207RX0202X Internal Medicine
Specialization: Medical Oncology
38662A UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT FEDERAL BLACK LUNG 203370 01
UT RAILROAD MEDICARE CN3088 01

Other Provider/Organization Names

Other Name Type Code
Utah Cancer Specialists Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
520 Medical Dr Ste 340, Bountiful, UT 840108924 8012966665 8012675620
5131 S Cottonwood St # L-2, Murray, UT 841075701 8012633416 8012633428
3592 W 9000 S Ste 200, West Jordan, UT 840888819 8015628732 8012675633
48 N 1100 E Ste B, American Fork, UT 840032910 8014929934 8014929936
389 S 900 E Ste 100, Salt Lake City, UT 841022310 3853475500 8012675616
1492 W Antelope Dr Ste 125, Layton, UT 840411274 8015253022 8012675617
395 W Bulldog Blvd Ste 103, Provo, UT 846043334 8013578200 8013578201
1244 N Main St Ste 101, Tooele, UT 840749839 4358822365 4358822926

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1912058942 Utah Cancer Specialists PC Internal Medicine 3838 S 700 E, Ste 100, Salt Lake City, UT 84106-1466 2007-01-16

Office Location

Street Address 3838 S 700 E STE 100
City SALT LAKE CITY
State UT
Zip Code 84106-1494

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144663493 Robert Allan Havard IIi Internal Medicine 3838 S 700 E Ste 100, Salt Lake City, UT 84106-1494 2013-04-16
1871751297 Amy Larae Cruz Nurse Practitioner 3838 S 700 E Ste 100, Salt Lake City, UT 84106 2008-06-02
1679746846 David Edmand Rodeback Social Worker 3838 S 700 E Ste 100, Salt Lake City, UT 84106-1494 2008-04-09
1831296508 Julie Bylund Luckart Nurse Practitioner 3838 S 700 E Ste 100, Salt Lake City, UT 84106-1494 2006-09-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801400015 Tyra Mae Vance Counselor 3375 S 880 E, Salt Lake City, UT 84106 2020-09-04
1316596554 Adam Davies Pharmacist 1280 E Stringham Ave., Salt Lake City, UT 84106 2019-09-10
1558919142 University of Utah Pharmacy 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 2019-08-28
1588174064 Aaron Potts Naturopath 1945 1100 E, #100, Salt Lake City, UT 84106 2017-10-10
1801335005 Gretchen Dennison Nurse Practitioner 2138 S Highland Dr, Salt Lake City, UT 84106 2017-02-21
1376095794 Jeannette Daneals Naturopath 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 2016-11-02
1073908703 Tracey Steinmetz Massage Therapist 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 2015-03-31
1275949091 Amy Deforest Edwards Counselor Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 2014-07-02
1194138636 Hillary Lowe Taggart Nurse Practitioner 3369 S Highland Dr, Salt Lake City, UT 84106 2014-06-03
1487086617 Herald R. Clark, Dds Dentist 3643 S. Highland Drive, Salt Lake City, UT 84106 2013-07-30
Find all providers in zip 84106

Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073875308 Mei Wei Internal Medicine 201 Presidents Cir, Salt Lake City, UT 84112-9049 2012-06-12
1235556382 Bradley Hunter Internal Medicine 8th Ave and C Street, Salt Lake City, UT 84143-0001 2014-03-26
1679867477 Health Services Inc Internal Medicine 8 Th Avenue & C St, Salt Lake City, UT 84143-0001 2011-06-09
1831480771 Conan Grant Kinsey Internal Medicine 2000 Circle of Hope, Salt Lake City, UT 84112 2011-04-26
1871734038 Catherine Joy Lee Internal Medicine 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 2009-03-18
1467608554 Ignacio Garrido-laguna Internal Medicine 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 2008-08-08
1083827455 Kenneth Frederick Grossmann Internal Medicine 2000 Circle of Hope, Clinic 2b, Salt Lake City, UT 84112-5550 2007-05-08
1568547255 Saundra S Buys Internal Medicine 1950 Circle of Hope, Clinic 3a, Salt Lake City, UT 84112-5550 2006-10-25
1346330966 Wallace Lovell Akerley IIi Internal Medicine 1950 Circle of Hope, Clinic 1a, Salt Lake City, UT 84112-5500 2006-10-13
1104916709 Martha Jane Glenn Internal Medicine 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 2006-10-13
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84106

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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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