DR. BRETON ADAM OREL YATES (NPI# 1710242235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710242235 |
Entity Type | Individual |
Full Name | DR. BRETON ADAM OREL YATES |
Credential | M.D. |
Practice Address |
1548 E 4500 S Ste 202 Salt Lake City UT 84117-5209 |
Practice Telephone | 8016794600 |
Mailing Telephone | 8016794600 |
Enumeration Date | 2012-07-10 |
Last Update Date | 2017-05-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
10158735-1205 | UT | Allopathic & Osteopathic Physicians |
Street Address |
1548 E 4500 S STE 202 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84117-5209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720149453 | Jeffery K. Rupp | Dentist | 1548 E 4500 S, Suite 102, Salt Lake City, UT 84117-4209 | 2006-12-13 |
1831548098 | Shane Farr | Physician Assistant | 1548 E 4500 S, Ste 202, Salt Lake City, UT 84117-4209 | 2016-06-08 |
1659785194 | Elena Margarite Hadjicharalambous | Dermatology | 1548 E 4500 S, Ste 202, Salt Lake City, UT 84117 | 2014-06-12 |
1003162058 | Stacy R Smith Md PC | Ophthalmology | 1548 E 4500 S, Ste 105, Salt Lake City, UT 84117-4209 | 2012-07-27 |
1871783027 | David Gustafson | Dentist | 1548 E 4500 S, Salt Lake City, UT 84117-4209 | 2007-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063052256 | Abundant Dental Care, P.C. | Dentist | 1548 E 4500 S #104, Holladay, UT 84117 | 2020-01-15 |
1578127221 | Signature Utah Dental Partners PC | Clinic/Center | 2240 E Murray Holladay Rd, Holladay, UT 84117 | 2019-04-29 |
1700392974 | Marette Monson, LLC | Community/Behavioral Health | 2180 East 4500 South, Suite 105, Holladay City, UT 84117 | 2017-12-23 |
1942714639 | Harmon City Inc | Pharmacy | 4675 South Holladay Blvd, Holladay, UT 84117 | 2017-11-17 |
1881119444 | Brianna Stewart | Physical Medicine & Rehabilitation | 5151 South 900 East, Suite 100, Salt Lake City, UT 84117 | 2017-08-04 |
1861842874 | Whitney Aste | Dentist | 1548 E 4500 S Ste 104, Salt Lake City, UT 84117 | 2016-06-21 |
1922403765 | Tri-peak, Pllc | Psychologist | 4535 S 2300 E, Suite B, Salt Lake City, UT 84117 | 2014-10-22 |
1356689566 | Mckenzie Vierig | Marriage & Family Therapist | 4568 S Highland Dr Ste 380, Millcreek, UT 84117 | 2013-01-22 |
1821348640 | Fabiola Marquez Jamieson | Social Worker | 4500 S 2180 E, Suite 165, Holladay, UT 84117 | 2012-09-19 |
1073882882 | Amy Rose White | Social Worker | 4500 South 2180 East, Suite 165, Holladay, UT 84117 | 2011-12-22 |
Find all providers in zip 84117 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053823120 | Fife Dermatology Utah | Dermatology | 1490 E Foremaster Drive, Suite 260, St.george, UT 84790-4488 | 2017-10-30 |
1902171895 | M R Hinckley Md Pllc | Dermatology | 602 Fort Union Blvd, 2nd Floor, Midvale, UT 84047-2216 | 2012-03-12 |
1508826587 | John S Blake | Dermatology | 210 W 300 N 7-3, Roosevelt, UT 84066 | 2006-03-24 |
City | SALT LAKE CITY |
Zip Code | 84117 |
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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.