WOUNDTECH OF UTAH, INC. (NPI# 1750922415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750922415 |
Entity Type | Organization |
Organization Name | WOUNDTECH OF UTAH, INC. |
Practice Address |
517 D St Salt Lake City UT 84103-2831 |
Mailing Address |
200 S Park Rd Ste 200 Hollywood FL 33021-8541 |
Practice Telephone | 9549237440 |
Practice Fax Number | 9549231299 |
Mailing Telephone | 9549237440 |
Mailing Fax Number | 9549231299 |
Enumeration Date | 2019-10-03 |
Last Update Date | 2019-10-03 |
Authorized Official Name | JEFRREY L GALITZ (CEO/CHIEF MEDICAL OFFICER) |
Authorized Official Telephone | 9549237440 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
517 D ST |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84103-2831 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
Find all providers in zip 84103 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225647480 | Utah Therapeutic Health Center | General Practice | 740 E 3900 S Ste 108, Salt Lake City, UT 84107-2525 | 2020-07-23 |
1588928923 | Douglas Stein | General Practice | 5 S 500 W Unit 1205, Salt Lake City, UT 84101-4127 | 2012-06-29 |
1639430960 | Rita Florian Pingree | General Practice | 350 S 200 E, 400, Salt Lake City, UT 84111-2410 | 2012-06-04 |
1437430915 | Carter Brooke Jennings | General Practice | 2811 E 4135 S, Salt Lake City, UT 84124-3043 | 2011-08-29 |
1255620068 | Chad Chenoweth | General Practice | 1512 E 3115 S, Salt Lake City, UT 84106-3456 | 2011-04-01 |
1154622587 | Wallace Harold Ring | General Practice | 3125 Kennedy Dr., 1003, Salt Lake City, UT 84108-2110 | 2010-11-17 |
1639484025 | Fast Track Billing Inc | General Practice | 50 W Broadway, Suite 1000, Salt Lake City, UT 84101-2020 | 2010-08-10 |
1639495047 | Martin Richard Buta | General Practice | Department of General Surgery, 30 N. 1900 E., 3b324 Som, Salt Lake City, UT 84132-0001 | 2010-04-09 |
1548406325 | Brent Carl James | General Practice | 36 S State St Fl 16, Salt Lake City, UT 84111-1633 | 2008-12-27 |
1003069246 | Ted R Schultz Md LLC | General Practice | 866 Padley St, Salt Lake City, UT 84108-1414 | 2008-10-31 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84103 |
Please comment or provide details below to improve the information on WOUNDTECH OF UTAH, INC..
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.