RICHARD SPENCE (NPI# 1649234022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649234022 |
| Entity Type | Individual |
| Full Name | RICHARD SPENCE |
| Credential | MD |
| Practice Address |
3580 W 9000 S West Jordan UT 84088-8812 |
| Mailing Address |
144 S 500 E 2nd Floor Salt Lake City UT 84102-1907 |
| Practice Telephone | 8015618888 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 170449-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
170449-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 170449-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 07579 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801122205 | Richard Kevin Spence | Surgery | 1828 Cardinal Lake Dr, Cherry Hill, NJ 08003-2804 | 2009-10-20 |
| 1659430080 | Richard James Spence | Dentist | 92 South St, Claremont, NH 03743-3180 | 2006-12-08 |
| 1558633552 | Richard D Spence | Nurse Anesthetist, Certified Registered | 1500 Citywest Blvd Ste 300, Houston, TX 77042-2549 | 2012-02-07 |
| 1083798730 | Richard Michael Spence | Dentist | 2200 Los Rios Blvd, Suite #100, Plano, TX 75074 | 2006-10-25 |
| Street Address |
3580 W 9000 S |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-8812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164422812 | Utah Imaging Associates | Radiology | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2005-07-26 |
| 1003416645 | Brett Pozolinski | Physical Therapist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2020-10-30 |
| 1033720461 | Samantha Blair Walker | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2020-08-10 |
| 1508414012 | Alyson Oblock | Physician Assistant | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2019-08-28 |
| 1548820285 | Collin Mark Olsen | Speech-Language Pathologist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2019-06-14 |
| 1972008977 | Jillian Harding | Physical Therapy Assistant | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2018-03-29 |
| 1770094666 | Jessica Johnson | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-10-18 |
| 1720502867 | Melissa Dawn Anderson | Speech-Language Pathologist | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-07-31 |
| 1003348947 | Michael L Taylor Anesthesiology Pllc | Anesthesiology | 3580 W 9000 S, Jordan Valley Medical Center Dept of Anesthesiology, West Jordan, UT 84088 | 2017-03-30 |
| 1972048692 | Brady Carlsen | Nurse Anesthetist, Certified Registered | 3580 W 9000 S, West Jordan, UT 84088-8812 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210551 | Evergreen Clinic LLC | Family Medicine | 1561 W 7000 S Ste 100, West Jordan, UT 84084-3556 | 2019-11-25 |
| 1528203817 | West Jordan Family Medicine, LLC | Family Medicine | 6783 S Redwood Rd Ste 103, West Jordan, UT 84084-5685 | 2008-12-16 |
| 1417125139 | Shadow Mountain Family Physicians | Family Medicine | 7800 South 3855 West, 100, West Jordan, UT 84088 | 2008-02-15 |
| 1962606657 | Jordan Landing Family Medicine LLC | Family Medicine | 3895 W 7800 S Suite 100, West Jordan, UT 84088-1966 | 2007-06-14 |
| 1336227206 | Jackie Anne Fonua | Family Medicine | 3354 W 7800 S, West Jordan, UT 84088-4506 | 2006-11-01 |
| 1235158304 | Brenten C Pugh, Md | Family Medicine | 3895 W 7800 S Ste 100, West Jordan, UT 84088-5616 | 2006-07-19 |
| 1174555320 | James S Coy | Family Medicine | 2751 W 9000 S, West Jordan, UT 84088 | 2006-07-07 |
| 1386675627 | Randall R Fillmore | Family Medicine | 2751 W 9000 South, West Jordan, UT 84088 | 2006-07-05 |
| 1568405397 | Dennis R Hamp | Family Medicine | 3895 W 7800 S, Suite, 100, West Jordan, UT 84088-5617 | 2006-06-13 |
| 1275576027 | Judith L Kirstein | Family Medicine | 8846 S Redwood Rd, Ste E121, West Jordan, UT 84088-9334 | 2006-06-13 |
| Find all providers in WEST JORDAN | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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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.