MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC (NPI# 1720035520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720035520 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN MEDICAL PHYSICIAN SPECIALISTS PC |
| Other Organization Name | UTAH RADIOLOGY ASSOCIATES |
| Practice Address |
5334 S Woodrow St Ste 101 Murray UT 84107-5838 |
| Practice Telephone | 8012841755 |
| Mailing Telephone | 8012841755 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-10-06 |
| Authorized Official Name | JULIE PENROD (CEO) |
| Authorized Official Telephone | 8012841705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
1328836-0144 | UT | Allopathic & Osteopathic Physicians |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
1328836-0144 | UT | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
1328836-0144 | UT | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
1328836-0144 | UT | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1328836-0144 | UT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Utah Radiology Associates | Former Legal Business Name - Organization |
| Street Address |
5334 S WOODROW ST STE 101 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-5838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336410844 | Michael Sentome | Radiology | 5334 S Woodrow St Ste 101, Murray, UT 84107-5838 | 2012-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410517 | Brielle Nicole Poulter | Student in an Organized Health Care Education/Training Program | 345 East 4500 So #260, Murray, UT 84107 | 2020-09-01 |
| 1467016592 | Ashlee Brown | Social Worker | C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 | 2019-04-24 |
| 1568940633 | Samantha Duff | Occupational Therapist | 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 | 2018-08-01 |
| 1881185247 | Derek John Sharp | Occupational Therapist | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 | 2018-05-22 |
| 1093223091 | Erin Nicole Hill | Counselor | 345 East 4500 South Suite 260, Murray, UT 84107 | 2018-01-12 |
| 1588171219 | Nicole Danielle Jensen | Counselor | 345 East 4500 South, Suite 260, Murray, UT 84107 | 2018-01-03 |
| 1043725799 | Greater Endodontics LLC | Dentist | 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 | 2017-12-04 |
| 1043739667 | Karyn K Hodge | Audiologist | 4500 So. 777. E. Ste #110, Murray, UT 84107 | 2017-09-14 |
| 1912426750 | Brandon C Burton | Specialist/Technologist, Other | Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 | 2017-09-13 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| Find all providers in zip 84107 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003253667 | James Blain Sowby | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2013-05-22 |
| 1801975461 | Kevin C Funk | Radiology | 5444 South Green Street, Murray, UT 84123 | 2006-11-03 |
| 1497789523 | Radiology Associates of Murray, Pllc | Radiology | Murray Calloway County Hospital, 803 Poplar St, Murray, KY 42071 | 2006-07-11 |
| 1316949316 | Duane Blatter | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2005-08-10 |
| 1275530289 | W Robert Brinton | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2005-07-05 |
| 1639175144 | Jonathan Scott Silverstein | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2005-06-21 |
| 1518403641 | Summit Physician Specialists | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2017-01-12 |
| 1194100651 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1285019737 | Ihc Health Services Inc | Radiology | 5444 S Green St, Murray, UT 84123-5632 | 2015-07-27 |
| 1447661053 | Roger Stimpson | Radiology | 5334 S Woodrow St Ste 100, Murray, UT 84107-5838 | 2014-05-16 |
| Find all providers in MURRAY | ||||
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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.