MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC (NPI# 1639350705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639350705 |
| Entity Type | Organization |
| Organization Name | MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC |
| Practice Address |
425 E 5350 S Suite #350 Ogden UT 84405-6946 |
| Practice Telephone | 8014766900 |
| Practice Fax Number | 8014766991 |
| Mailing Telephone | 8014766900 |
| Mailing Fax Number | 8014766991 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Authorized Official Name | MR. KIRT L PETERSON (ADMINISTRATOR) |
| Authorized Official Telephone | 8017434750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093996167 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 698 W 800 N, Suite #210, Orem, UT 84057-3658 | 2007-11-16 |
| 1689721219 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 E 3900 S, Suite 3500, Salt Lake City, UT 84124-1202 | 2007-01-04 |
| Street Address |
425 E 5350 S SUITE #350 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589145 | Susan C Hustad | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6990 | 2005-06-21 |
| 1477852994 | James W Starley Md A Professional Corporation | Specialist | 425 E 5350 S, 425, Ogden, UT 84405-6946 | 2011-03-23 |
| 1669643920 | Frank Tilaro Internal Medicine PC | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2008-03-14 |
| 1467637926 | Ogden Ear Nose & Throat PC | Otolaryngology | 425 E 5350 S, Suite 130, Ogden, UT 84405-6946 | 2008-01-03 |
| 1205032190 | Seth R Lewis Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-26 |
| 1912102997 | Elena L Goncharova Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-19 |
| 1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
| 1447470893 | Susan C Hustad Md, PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-04-26 |
| 1720141435 | Lawrence Anthony Carcelli | Psychologist | 425 E 5350 S, 370, Ogden, UT 84405-6946 | 2006-12-18 |
| 1467514059 | James W Starley | Obstetrics & Gynecology | 425 E 5350 S, Ste 125, Ogden, UT 84405 | 2006-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578638383 | Joseph E Graham | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5405 South 500 East, #200, Ogden, UT 84405 | 2006-11-21 |
| 1962547695 | Ihc Health Services Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4403 Harrison Blvd, #3835, Ogden, UT 84403-3271 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609319722 | Antigoni Koliopoulou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # Som3c127, Salt Lake City, UT 84132-0002 | 2016-11-21 |
| 1689061822 | Ryan Clark | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 | 2015-04-24 |
| 1487994562 | Edwin Clifford Mcgough | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 705 N Pioneer Fork Rd, Salt Lake City, UT 84108-1642 | 2013-02-26 |
| 1659630572 | John David Vossler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E # 3c127, Salt Lake City, UT 84132-0002 | 2012-05-12 |
| 1407145535 | Utl Solutions, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 369 E 900 S, Suite 279, Salt Lake City, UT 84111-4331 | 2011-03-29 |
| 1003063934 | Clynn Roberts Ford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2843 Lancaster Dr, Salt Lake City, UT 84108-2535 | 2008-08-21 |
| 1356335970 | J Kent Thorne | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1160 E. 3900 S, #3500, Salt Lake City, UT 84124 | 2005-09-09 |
| 1255795308 | University of Utah Pediatric Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2016-04-05 |
| 1184028995 | University of Utah Adult Services | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073871042 | Ashley Eleen Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2012-04-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC.
| 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.