EVAN J MATHESON (NPI# 1760677686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760677686 |
| Entity Type | Organization |
| Organization Name | EVAN J MATHESON |
| Practice Address |
745 N 500 W # 200 Provo UT 84601-1472 |
| Practice Telephone | 8013759292 |
| Practice Fax Number | 8013759290 |
| Mailing Telephone | 8013759292 |
| Mailing Fax Number | 8013759290 |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2011-01-31 |
| Authorized Official Name | DR. EVAN J MATHESON (OWNER) |
| Authorized Official Telephone | 8013759292 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
745 N 500 W # 200 |
| City | PROVO |
| State | UT |
| Zip Code | 84601-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578759114 | Hugo G. Altamirano Md LLC | Clinic/Center | 745 N 500 W # 200, Provo, UT 84601-1472 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902378417 | 1 Assist Care of Utah Valley LLC | In Home Supportive Care | 180 N University Avenue, Suite 270, Office 213, Provo, UT 84601 | 2018-12-21 |
| 1346723319 | Mp Dental LLC | Dentist | 777 N. 500 W. #204, Proud, UT 84601 | 2018-09-14 |
| 1326530601 | Madison Paige Nelson | Case Manager/Care Coordinator | 750 N Freedom Blvd., Provo, UT 84601 | 2018-06-03 |
| 1245758861 | Annette Roylance | Case Manager/Care Coordinator | 750 North Freedom Boulevard, Suite 300, Provo, UT 84601 | 2017-09-04 |
| 1912422205 | Alexandra Mcbride | Specialist/Technologist | 35 N 300 W #440, Provo, UT 84601 | 2017-08-07 |
| 1932638293 | Audrey Clara Clifton | Case Manager/Care Coordinator | 750 North Freedom Blvd., Provo, UT 84601 | 2017-06-08 |
| 1528514197 | Joseph Hyrum Lewis | Case Manager/Care Coordinator | 750 Freedom Blvd, Provo, UT 84601 | 2016-09-01 |
| 1629427620 | Walker Clements | Case Manager/Care Coordinator | 750 North Freedom Blvd, Provo, UT 84601 | 2016-06-09 |
| 1447611595 | Robert Shirley | Student in an Organized Health Care Education/Training Program | 750 North 200 West, Provo, Ut 84601., Provo, UT 84601 | 2016-03-17 |
| 1700286283 | Brelynn Downs | Student in an Organized Health Care Education/Training Program | 750 North Freedom Blvde, Provo, UT 84601 | 2014-09-03 |
| Find all providers in zip 84601 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1992212641 | Ideal Option, Pllc | Clinic/Center | 2230 N University Pkwy Ste 5, Provo, UT 84604-4743 | 2018-01-03 |
| 1205232923 | Nahuel Image Center | Clinic/Center | 1700 N State St, Suite 16, Provo, UT 84604-1011 | 2014-11-06 |
| 1245648468 | Richard W. Parkinson | Clinic/Center | 5314 N 250 W Ste 220, Provo, UT 84604-7746 | 2014-07-31 |
| 1912137084 | Dennis W. Remington M.d.,p.c. | Clinic/Center | 1675 N Freedom Blvd Ste 11e, Provo, UT 84604-6936 | 2009-07-22 |
| 1417299827 | Northern Utah Center for Couples and Families, Pllc | Clinic/Center | 3507 N University Ave, Ste 350, Provo, UT 84604-4478 | 2013-03-23 |
| 1538452826 | Glasgow Chiropractic and Rehabilitation P.l.l.c | Clinic/Center | 2230 N University Pkwy, #6b, Provo, UT 84604-1509 | 2011-05-19 |
| 1578759114 | Hugo G. Altamirano Md LLC | Clinic/Center | 745 N 500 W # 200, Provo, UT 84601-1472 | 2007-09-18 |
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| 1710468384 | Skull Valley Health Clinic | Clinic/Center | 1929 Aaron Dr Ste I, Tooele, UT 84074-8112 | 2018-08-22 |
| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1558876961 | Corner Canyon Recovery, LLC | Clinic/Center | 1450 E Pioneer Rd, Draper, UT 84020 | 2017-12-07 |
| 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.