TODD EBERHARD (NPI# 1760593677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760593677 |
| Entity Type | Individual |
| Full Name | TODD EBERHARD |
| Credential | MD |
| Practice Address |
5770 S 250 E #170 Murray UT 84107-8100 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013144266 |
| Mailing Telephone | 8013144266 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 821679371205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5770 S 250 E #170 |
| City | MURRAY |
| State | UT |
| Zip Code | 84107-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992928 | Janet K Harnsberger | Pediatrics | 5770 S 250 E, Ste 330, Murray, UT 84107-8104 | 2005-06-15 |
| 1245602507 | Debra Camp | Registered Nurse | 5770 S 250 E, #310, Murray, UT 84107-8100 | 2015-10-27 |
| 1912374521 | Cindy Clymore | Registered Nurse | 5770 S 250 E, Murray, UT 84107-8100 | 2015-08-31 |
| 1558738161 | Laura Guilmain | Registered Nurse | 5770 S 250 E, Suite 310, Murray, UT 84107-8100 | 2015-08-31 |
| 1710319058 | Stacey Claire Snow | Audiologist | 5770 S 250 E, #285, Murray, UT 84107-8100 | 2013-08-08 |
| 1407292451 | Amy K. Stewart | Social Worker | 5770 S 250 E, Murray, UT 84107-8100 | 2013-05-17 |
| 1174866941 | Jake C Jones | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-31 |
| 1851633903 | Rebecca Elizabeth Kincaid | Pediatrics | 5770 S 250 E, Suite 290, Murray, UT 84107-8100 | 2013-03-26 |
| 1699021741 | Leslie Pollio Farrell | Nurse Practitioner | 5770 S 250 E, Ste 330, Murray, UT 84107-8100 | 2012-07-26 |
| 1346595188 | Cottonwood Pediatric Gastroenterology | Pediatrics | 5770 S 250 E, Ste330, Murray, UT 84107-8100 | 2012-07-18 |
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| 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 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391580 | Kelli Ramsey | Family Medicine | 506 N 12th St Ste A, Murray, KY 42071-1660 | 2018-10-11 |
| 1831568906 | Palliative Specialty Group LLC | Family Medicine | 1106 E 6600 S, Murray, UT 84121-2446 | 2015-09-18 |
| 1316329329 | Nicholas Noble | Family Medicine | 5980 S Fashion Blvd, Murray, UT 84107-7362 | 2015-06-25 |
| 1053594861 | Peter V Sundwall Md PCa | Family Medicine | 4815 Center St, Murray, UT 84107-4814 | 2007-12-14 |
| 1487836532 | Amazing Medical Associates, Inc | Family Medicine | 434 W Ascension Way Ste 225, Murray, UT 84123 | 2007-11-30 |
| 1114111879 | Catherine Nicole Dickinson | Family Medicine | 300 S 8th St Ste 480w, Murray, KY 42071-2403 | 2007-09-05 |
| 1871527440 | Matthew David Agresta | Family Medicine | 55050 South 900 East #240, Murray, UT 84117-1301 | 2006-07-10 |
| 1831674654 | Vmd Primary Providers Central Kentucky | Family Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-27 |
| 1063861524 | Joshua Scearce | Family Medicine | 300 S 8th St Ste 480w, Murray, KY 42071-2403 | 2016-06-06 |
| 1407275787 | Lauren Wood | Family Medicine | 181 E Medical Tower Dr, Murray, UT 84107 | 2014-04-15 |
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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.