JC ALJAMMAL PLLC (NPI# 1710466115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710466115 |
| Entity Type | Organization |
| Organization Name | JC ALJAMMAL PLLC |
| Practice Address |
4465 S 900 E Ste 200 Salt Lake City UT 84124-2695 |
| Mailing Address |
Po Box 520247 Salt Lake City UT 84152-0247 |
| Practice Telephone | 4129960131 |
| Practice Fax Number | 8016836845 |
| Mailing Telephone | 4129960131 |
| Mailing Fax Number | 8016836845 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | LAURA JOHN (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 8012316986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
4465 S 900 E STE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-2695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1992298970 | Shahzad Ahmad Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-06-13 |
| 1083846018 | Jules Aljammal | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2009-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083086631 | Treatment Assessment Screening Center, Inc | Clinic/Center | 145 E 1300 S Ste 101, Salt Lake City, UT 84115-6118 | 2015-10-22 |
| 1285016972 | Gonstead Chiropractic | Clinic/Center | 1154 S 300 W, Suite C, Salt Lake City, UT 84101-3053 | 2015-06-18 |
| 1932490190 | Work Care Clinic | Clinic/Center | 2390 S Redwood Road, Salt Lake City, UT 84119-2027 | 2011-04-22 |
| 1578869954 | Directmd, LLC | Clinic/Center | Salt Lake County Government Ctr, 2001 South State Street, Ste S2400, Salt Lake City, UT 84190-0001 | 2011-02-02 |
| 1124156906 | Madhuri Shah | Clinic/Center | 515 S 400 E, Salt Lake City, UT 84111-3501 | 2007-03-01 |
| 1902833270 | Diabetic Treatment Centers of America | Clinic/Center | 50 S 900 E, Suite 1a, Salt Lake City, UT 84102-1366 | 2006-06-26 |
| 1447733258 | Mr Health, Inc. | Clinic/Center | 1860 S 300 W Ste B, Salt Lake City, UT 84115-2198 | 2018-09-08 |
| 1376032672 | Symbiosis Counseling | Clinic/Center | 1208 E 3300 S, Salt Lake City, UT 84106-2522 | 2018-05-02 |
| 1780182683 | Valleyfit Clinic LLC | Clinic/Center | 4460 S Highland Dr Ste 300, Salt Lake City, UT 84124-3562 | 2018-01-25 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.