DRAPER FAMILY MEDICAL ASSOCIATES, LLC (NPI# 1689893174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689893174 |
| Entity Type | Organization |
| Organization Name | DRAPER FAMILY MEDICAL ASSOCIATES, LLC |
| Other Organization Name | DRAPER FAMILY PRACTICE |
| Practice Address |
12272 South 800 East Suite A Draper UT 84020 |
| Practice Telephone | 8015231300 |
| Practice Fax Number | 8015231301 |
| Mailing Telephone | 8015231300 |
| Mailing Fax Number | 8015231301 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-09-04 |
| Authorized Official Name | CARLIE HAMILTON (OWNER) |
| Authorized Official Telephone | 8015231300 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5668757-1205 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Draper Family Practice | Other Name - Individual/Organization |
| Street Address |
12272 SOUTH 800 EAST SUITE A |
| City | DRAPER |
| State | UT |
| Zip Code | 84020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| 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 |
|---|---|---|---|---|
| 1235526088 | Lone Peak Medical Associates Pllc | Family Medicine | 14768 S Dryburg Cv, Draper, UT 84020-5673 | 2015-04-20 |
| 1477817443 | Betsy Reese | Family Medicine | 74 E Kimballs Ln Ste 260, Draper, UT 84020-5009 | 2012-06-25 |
| 1932428232 | Joseph Sterling Atkin | Family Medicine | 13953 S Bangerter Pkwy, Draper, UT 84020-5429 | 2010-05-26 |
| 1841430733 | Susan E Prater | Family Medicine | 11724 South State St, Ste 100, Draper, UT 84020-7165 | 2009-03-04 |
| 1245315332 | Layne A Hermansen | Family Medicine | 877 E 12300 S, Suite 201, Draper, UT 84020 | 2006-10-26 |
| 1750320925 | Jennifer L Swenson | Family Medicine | 12473 S Minuteman Dr, Draper, UT 84020 | 2006-06-05 |
| 1700842804 | Kennon Christopher Tubbs | Family Medicine | 13584 S Carolina Hill Ct, Draper, UT 84020-7726 | 2006-04-26 |
| 1922070093 | Matthew Todd Andersen | Family Medicine | 11760 S 700 E, Ste 111, Draper, UT 84020-6604 | 2006-02-03 |
| 1114910072 | Harold N Gooch | Family Medicine | 12176 South 1000 East, Draper, UT 84020 | 2005-08-25 |
| 1255323697 | Gary Scott Call | Family Medicine | 12176 S 1000 E, Draper, UT 84020-9716 | 2005-08-22 |
| Find all providers in DRAPER | ||||
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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.