MARY P BRONNER (NPI# 1740245299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740245299 |
Entity Type | Individual |
Full Name | MARY P BRONNER |
Credential | MD |
Practice Address |
500 Chipeta Arup Laboratories Salt Lake City UT 84108 |
Practice Telephone | 8015832787 |
Practice Fax Number | 8015810735 |
Mailing Telephone | 8015832787 |
Mailing Fax Number | 8015810735 |
Enumeration Date | 2006-04-19 |
Last Update Date | 2011-06-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
7817974-1205 | UT | Allopathic & Osteopathic Physicians |
N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
35083002B | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2449872 | 05 | |
RAILROAD MEDICARE | P00907176 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922132026 | Mary Ellen Bronner | Social Worker | 1 Washington St, Taunton, MA 02780-3960 | 2007-03-14 |
Street Address |
500 CHIPETA ARUP LABORATORIES |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
Find all providers in zip 84108 |
Taxonomy Code | 207ZP0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Anatomic Pathology |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881080851 | Katherine Eileen Boylan | Pathology | 1950 Circle of Hope Dr Rm N3100, Salt Lake City, UT 84112-5500 | 2015-04-07 |
1134574478 | Nelly Tejada Romero | Pathology | 1950 Circle of Hope Dr, Hunstman Cancer Hospital Rm N3100, Salt Lake City, UT 84112-5500 | 2016-04-24 |
1033435094 | Kajsa Elizabeth Affolter | Pathology | University of Utah Hospital, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2010-04-15 |
1952556748 | Allie Harris Grossmann | Pathology | 1950 Circle of Hope, Surgical Pathology, Huntsman Cancer Hospital Rm 3860, Salt Lake City, UT 84112 | 2008-11-21 |
1770673360 | Lyska Leigh Emerson | Pathology | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
1821018292 | Monica Patricia Revelo-penafiel | Pathology | 1950 Circle of Hope Dr, Salt Lake City, UT 84112-5500 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437580610 | Juan Rosai | Pathology | 1950 Circle of Hop, Arup Huntsman Cancer Institute, Rm N3100, Salt Lake City, UT 84112 | 2013-12-12 |
City | SALT LAKE CITY |
Zip Code | 84108 |
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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.