JEREMY RUSSEL HARMAN (NPI# 1619967387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619967387 |
| Entity Type | Individual |
| Full Name | JEREMY RUSSEL HARMAN |
| Credential | PA-C |
| Practice Address |
324 E 10th Ave Suite 100 Salt Lake City UT 84103-2853 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8014087660 |
| Mailing Telephone | 8014087660 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2016-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 7095823-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 830712 | 05 |
| Street Address |
324 E 10TH AVE SUITE 100 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336677277 | Ihc Health Services Inc | Surgery | 324 E 10th Ave, Salt Lake City, UT 84103-2853 | 2017-05-23 |
| 1639505779 | Ryan K Garritson | Physician Assistant | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2013-09-20 |
| 1285971507 | Tara Wilhelmsen | Occupational Therapist | 324 E 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2013-01-07 |
| 1720349814 | Matthew Thomas Bryan | Internal Medicine | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2012-06-05 |
| 1306136353 | Melissa Lynne Devries | Psychologist | 324 E 10th Ave, Suite 200, Salt Lake City, UT 84103-2853 | 2011-04-12 |
| 1700185568 | Jill Ashley Monteiro | Internal Medicine | 324 E 10th Ave, Suite 200, Salt Lake City, UT 84103-2853 | 2011-03-19 |
| 1972745024 | Dan A Collins | Internal Medicine | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2009-04-02 |
| 1356540652 | Sara Delong | Psychiatry & Neurology | 324 E 10th Ave, Suite 178, Salt Lake City, UT 84103-2853 | 2007-07-16 |
| 1063637353 | Darcie Reasoner Gorman | Internal Medicine | 324 E 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2007-04-13 |
| 1619005659 | Patricia Anne Gurell | Nurse Practitioner | 324 E 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 | 2007-03-01 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
| 1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
| 1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
| 1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
| 1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.