MRS. ANGELA MARIE NICHOLSON KRULL (NPI# 1649377540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649377540 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA MARIE NICHOLSON KRULL |
| Other Name | ANGELA MARIE MICHOLSON |
| Credential | MD |
| Practice Address |
10011 Centennial Pkwy Suite 500 Sandy UT 84070-4156 |
| Practice Telephone | 8016767627 |
| Practice Fax Number | 8016767630 |
| Mailing Telephone | 8016767627 |
| Mailing Fax Number | 8016767630 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 61429451205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | GROUP NPI | 1316160534 | 01 |
| Street Address |
10011 CENTENNIAL PKWY SUITE 500 |
| City | SANDY |
| State | UT |
| Zip Code | 84070-4156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812116 | Gary Anthony Carter | Dentist | 10011 Centennial Pkwy, Ste 240, Sandy, UT 84070-4156 | 2005-06-23 |
| 1558676957 | Erickson Surgical Consulting Pllc | Obstetrics & Gynecology | 10011 Centennial Pkwy, Suite 150, Sandy, UT 84070-4156 | 2010-08-10 |
| 1407002496 | Jacob Scott Hamblin | Dentist | 10011 Centennial Pkwy, Suite 540, Sandy, UT 84070-4156 | 2008-08-11 |
| 1649452475 | Paul W Winterton Md PC | Orthopaedic Surgery | 10011 Centennial Pkwy, #230, Sandy, UT 84070-4156 | 2007-12-04 |
| 1215130182 | Salt Lake Women's Center | Specialist | 10011 Centennial Pkwy, Suite 350, Sandy, UT 84070-4156 | 2007-06-07 |
| 1508076928 | Paul E. Harrison | Dermatology | 10011 Centennial Pkwy, Ste 200, Sandy, UT 84070-4156 | 2007-05-23 |
| 1316160534 | Evergreen Medical, Inc. | Pain Medicine | 10011 Centennial Pkwy, Suite 500, Sandy, UT 84070-4156 | 2007-04-10 |
| 1750418612 | Trueskin Dermatology & Surgery Inc | Dermatology | 10011 Centennial Pkwy, Suite 200, Sandy, UT 84070-4156 | 2007-02-27 |
| 1669517751 | Erik Richard Rooklidge | Dentist | 10011 Centennial Pkwy, Suite 250, Sandy, UT 84070-4156 | 2007-02-20 |
| 1588725097 | Robert Chidester | Dentist | 10011 Centennial Pkwy, Suite 330, Sandy, UT 84070-4156 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777568 | Megan Komatsu Inc. | Social Worker | 10815 700 East, Sandy, UT 84070 | 2020-10-13 |
| 1841803137 | Anywhere Care | Nurse Practitioner | 9980 S. 300 W. Suite 200, Sandy, UT 84070 | 2020-08-26 |
| 1245840552 | Kirandeep Kaur | Psychologist | 9678 700 E # 102, Sandy, UT 84070 | 2020-08-03 |
| 1740890961 | Elizabeth Lowe Madsen | Counselor | 9678 700 East Suite 102, Sandy, UT 84070 | 2020-08-03 |
| 1417597188 | Hayley Burr | Counselor | 8706 700 E, Suite 205, Sandy, UT 84070 | 2020-01-10 |
| 1821656422 | Karen Ritchie | Counselor | 9192 South 300 West, Sandy, UT 84070 | 2019-05-30 |
| 1679068159 | Derek Livingston | Counselor | 11075 State St #35, Sandy, UT 84070 | 2018-06-27 |
| 1891283735 | Alta Rx LLC. | Pharmacy | 9883 South 500 West, Sandy, UT 84070 | 2018-04-26 |
| 1790273704 | The Addiction Medicine Physicians Group, LLC | Registered Nurse | 9160 S 300 E. Ste 25, Sandy, UT 84070 | 2018-04-25 |
| 1841794765 | Caryn Beazel | Physical Therapist | 9350 150 E, Sandy, UT 84070 | 2018-03-23 |
| Find all providers in zip 84070 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639451503 | Brigette Bird | Physical Medicine & Rehabilitation | 8408 Colene Dr, Sandy, UT 84094-1319 | 2011-09-15 |
| 1750351847 | Scott Adelman | Physical Medicine & Rehabilitation | 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 | 2006-01-23 |
| 1134111545 | Anina Merrill | Physical Medicine & Rehabilitation | 8074 S 1300 E, Sandy, UT 84094-0743 | 2005-08-22 |
| 1083236301 | Jacob Egbert LLC | Physical Medicine & Rehabilitation | 8074 S 1300 E, Sandy, UT 84094-0743 | 2020-05-08 |
| 1326305673 | Elie Elovic Md LLC | Physical Medicine & Rehabilitation | 8074 S 1300 E, Sandy, UT 84094-0743 | 2012-04-11 |
| 1447431317 | Joseph Clark Fyans | Physical Medicine & Rehabilitation | 9450 S 1300 E, Suite 120, Sandy, UT 84094-5555 | 2007-11-20 |
| 1902012727 | Milan Djurich Do | Physical Medicine & Rehabilitation | 8074 S 1300 E, Sandy, UT 84094-0743 | 2007-05-16 |
| 1487711123 | Michael Ming-chi Chen | Physical Medicine & Rehabilitation | 11333 S 1000 E, Suite 102, Sandy, UT 84094-5428 | 2007-01-02 |
| 1417978198 | Stephen P Marble | Physical Medicine & Rehabilitation | 8074 S 1300 E, Sandy, UT 84094-0743 | 2006-07-21 |
| 1285604462 | Michael Thomas Giovanniello | Physical Medicine & Rehabilitation | 10011 S Centennial Pkwy, Ste 500, Sandy, UT 84070 | 2006-01-23 |
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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.