JUPITER MEDICAL II LLC (NPI# 1649790080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649790080 |
| Entity Type | Organization |
| Organization Name | JUPITER MEDICAL II LLC |
| Practice Address |
7724 S 5600 W Ste 102 West Jordan UT 84081-5415 |
| Mailing Address |
21 White Hill Rd Cold Spring Harbor NY 11724-1211 |
| Practice Telephone | 8014328480 |
| Practice Fax Number | 4357318328 |
| Mailing Telephone | 6175713680 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Authorized Official Name | BRYAN KNEPPER (OWNER) |
| Authorized Official Telephone | 6175713680 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | U000092310 | 05 |
| Street Address |
7724 S 5600 W STE 102 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84081-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235992 | Stat-md II | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2019-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
| 1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1366763377 | Michael Jones | Behavioral Analyst | 5500 S Bagley Rd, Bldg J, West Jordan, UT 84081 | 2010-06-14 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
| 1356723928 | Ashley Dean Kammerman | Occupational Therapy Assistant | 5426 W Harvestmill Dr, West Jordan, UT 84081-1795 | 2015-06-19 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in zip 84081 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465793 | Kenneth W Goldberg | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2007-03-19 |
| 1104212877 | Wesley Deans | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2015-04-09 |
| 1124296827 | Paul Pilgram M.d. P.C. | Internal Medicine | 1561 W 7000 S, Suite 200, West Jordan, UT 84084-3556 | 2008-02-14 |
| 1518155753 | David Hunter Matthews Md PC | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2007-10-12 |
| 1093923591 | Utah Lung Center, LLC | Internal Medicine | 3584 W 9000 S, West Jordan, UT 84088 | 2007-05-18 |
| 1255456497 | Kevin B Johnson | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2007-03-20 |
| 1346364775 | David R Zackrison | Internal Medicine | 3590 W 9000 S Ste 240, West Jordan, UT 84088-8864 | 2007-03-19 |
| 1831261304 | David Hunter Matthews | Internal Medicine | 3590 W 9000 S, Suite 240, West Jordan, UT 84088-8857 | 2006-11-14 |
| 1952333106 | Brandon R Allen | Internal Medicine | 2751 W 9000 South, West Jordan, UT 84088 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698077 | Gayle Marie Mortensen | Internal Medicine | 1619 Hillsboro Dr, Layton, UT 84040-8250 | 2020-10-27 |
| 1992310825 | Novellus Integrative Medicine, LLC | Internal Medicine | 3397 N 1200 E Ste 108, Lehi, UT 84043-3262 | 2020-09-08 |
| 1083226369 | Advanced Wound Care | Internal Medicine | 871 S 500 W, Payson, UT 84651-3201 | 2020-08-19 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1821558024 | Millcreek Medical Pllc | Internal Medicine | 5526 S Van Winkle Expy, Murray, UT 84117-7324 | 2019-03-22 |
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84081 |
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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.