BRIAN WILLARD LOVERIDGE (NPI# 1720080369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720080369 |
| Entity Type | Individual |
| Full Name | BRIAN WILLARD LOVERIDGE |
| Credential | MD |
| Practice Address |
2086 N 1700 W Ste D Layton UT 84041-1164 |
| Mailing Address |
11511 Katy Fwy Ste 100 Houston TX 77079-1902 |
| Practice Telephone | 3855154100 |
| Practice Fax Number | 3853511150 |
| Mailing Telephone | 2816005000 |
| Mailing Fax Number | 2816056705 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 10269 | NV | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
10269 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002018840 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3100 N Tenaya Way, Las Vegas, NV 891280436 | 7022555025 | 7022555015 |
| Street Address |
2086 N 1700 W STE D |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409774 | Dana Shelton | Nurse Practitioner | 2086 N 1700 W Ste D, Layton, UT 84041-1164 | 2017-11-01 |
| 1619402799 | Diabetes Relief Utah Ogden LLC | Clinic/Center | 2086 N 1700 W Ste D, Layton, UT 84041 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629279096 | Mindy Hopfenbeck | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1142 | 2007-05-31 |
| 1710012745 | Ihc Health Services Inc | Emergency Medicine | 2075 N 1200 W, Layton, UT 84041-1616 | 2007-02-22 |
| 1528011335 | Cori A Patel | Emergency Medicine | 2075 N 1200 W, Layton, UT 84041-1616 | 2006-05-19 |
| 1356303945 | William Sheffield | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-04-06 |
| 1548222045 | Bart Nilson | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-04-03 |
| 1780645697 | Geoffrey Crockett | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-03-30 |
| 1023079936 | Arthur Davenport | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-03-30 |
| 1306807300 | Garrett Emery | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-03-29 |
| 1295795706 | Les Greenwood | Emergency Medicine | 1600 W Antelope Dr, Layton, UT 84041-1120 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1003287970 | Marlene Hyndman | Emergency Medicine | 3024 S 600 W, Bountiful, UT 84010-8204 | 2015-10-16 |
| 1912384637 | Kyle Earl Nielsen | Emergency Medicine | 2292 N 1430 E, Provo, UT 84604 | 2015-05-01 |
| 1699152538 | Jinghui Li | Emergency Medicine | 2675 W Taylorsville Blvd, Taylorsville, UT 84129-2208 | 2015-04-29 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
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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.