NEPHROLOGY ASSOCIATES OF UTAH LLC (NPI# 1750473948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750473948 |
| Entity Type | Organization |
| Organization Name | NEPHROLOGY ASSOCIATES OF UTAH LLC |
| Practice Address |
3702 S State St Ste 107 Salt Lake City UT 84115-5096 |
| Practice Telephone | 8012882634 |
| Practice Fax Number | 8012881186 |
| Mailing Telephone | 8012882634 |
| Mailing Fax Number | 8012881186 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | KRISTI DMYTRIW (VP OF OPERATIONS) |
| Authorized Official Telephone | 3038092855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 121 S Orem Blvd Ste 103, Orem, UT 840583006 | 8012254911 | 8012254854 |
| 1244 N Main St Ste 101, Tooele, UT 840749839 | 8012882634 | 8012881186 |
| 12523 S Creek Meadow Rd Ste 111, Riverton, UT 840657291 | 8012882634 | 8012881186 |
| 3823 W 9000 S, West Jordan, UT 840885603 | 8012882634 | 8012881186 |
| 4101 W Pioneer Pkwy Ste 103, West Valley, UT 841202050 | 8012882634 | 8012881186 |
| 572 W 750 S, Woods Cross, UT 840107265 | 8012882634 | 8012881186 |
| 650 E 4500 S, Ste 210, Salt Lake City, UT 841072900 | 8012882634 | 8012881186 |
| Street Address |
3702 S STATE ST STE 107 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-5096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1639799737 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-04-20 |
| 1952936668 | Mary-virginia Hye-jin Parker | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-03-03 |
| 1871127050 | Yu Cheng | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-02-26 |
| 1902443328 | Laboratory Corporation of America | Clinical Medical Laboratory | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2019-12-04 |
| 1598319642 | Cody Lee Bach | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2019-07-26 |
| 1639692510 | Trenton D Gray | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2017-07-21 |
| 1720438633 | April Conlon | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2016-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952560351 | Aylin Rachel Rodan | Internal Medicine | 85 Medical Dr, Room 223, Salt Lake City, UT 84112-1100 | 2008-06-02 |
| 1578761003 | Hasan Joseph Salameh | Internal Medicine | 650 E 4500 S Ste 210, Salt Lake City, UT 84107-4520 | 2007-07-05 |
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1679533012 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 880 E 3900 S, Ste B, Salt Lake City, UT 84107-2151 | 2006-03-27 |
| 1477555696 | Yaw Ababio Boateng | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-06-01 |
| 1861885022 | University of Utah Adult Services | Internal Medicine | 85 Medical Dr, 201, Salt Lake City, UT 84112-1100 | 2015-03-12 |
| 1750785556 | University of Utah Adult Services | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1508182437 | Tahir Zaman | Internal Medicine | 1250 E 3900 S Ste 410, Salt Lake City, UT 84124-1364 | 2010-04-16 |
| 1649417718 | Andrea Marie Nelson | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2009-01-12 |
| 1780833889 | Monique Eun Hee Cho | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2008-09-12 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on NEPHROLOGY ASSOCIATES OF UTAH LLC.
| 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.