DUDLEY MEDICAL AND WELLNESS INC (NPI# 1700125416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700125416 |
| Entity Type | Organization |
| Organization Name | DUDLEY MEDICAL AND WELLNESS INC |
| Practice Address |
1053 E 2100 S Salt Lake City UT 84106-2349 |
| Practice Telephone | 8013593995 |
| Practice Fax Number | 8013598489 |
| Mailing Telephone | 8013593995 |
| Mailing Fax Number | 8013598489 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | DR. MARK DUDLEY (OWNER) |
| Authorized Official Telephone | 8013593995 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1053 E 2100 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689784019 | Mark Dudley | Chiropractor | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2006-08-30 |
| 1427485275 | Anne W Bowden | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-10-10 |
| 1689007155 | Sharlene K Watson | Nurse Practitioner | 1053 E 2100 S, Salt Lake City, UT 84106-2349 | 2013-08-19 |
| 1760669998 | Dudley Chiropractic & Wellness Center Lc | Clinic/Center | 1053 E 2100 S, Salt Lake City, UT 84106 | 2008-01-30 |
| 1881884252 | Katie Ann Toledo | Nurse Practitioner | 1053 E 2100 S, Suite 4, Salt Lake City, UT 84106-2060 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| City | SALT LAKE CITY |
| Zip Code | 84106 |
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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.