PAUL CLARK BLUTH (NPI# 1780209544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780209544 |
| Entity Type | Individual |
| Full Name | PAUL CLARK BLUTH |
| Practice Address |
81 N Mario Capecchi Dr Salt Lake City UT 84113-1125 |
| Practice Telephone | 8016625700 |
| Mailing Telephone | 8016625700 |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
81 N MARIO CAPECCHI DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84113-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922012251 | Jeffrey Marvin Dalley | Social Worker | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2006-07-29 |
| 1255946588 | Sarah Elizabeth Roberts | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-14 |
| 1144835885 | Rachel Coffey | Social Worker | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-10 |
| 1457965865 | Mallory Caitlin Kidwell | Clinic/Center | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-09-02 |
| 1063021699 | Sara Stevenson | Dietitian, Registered | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-29 |
| 1780292318 | Katherine Ruesch | Nurse Practitioner | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-20 |
| 1124646062 | Nathaniel Edward Hayward | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-07-07 |
| 1477177939 | Kristen Wong | Genetic Counselor, MS | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-06-01 |
| 1891316170 | Brianna Dougall | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
| 1184245441 | Diamond Radivoyevich | Registered Nurse | 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
| 1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
| 1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
| 1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
| 1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
| 1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
| 1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
| 1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
| Find all providers in zip 84113 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205829 | Brittany Nicole Beverly | Student in an Organized Health Care Education/Training Program | 236 N Sun Arbor Ter Apt 2111, Salt Lake City, UT 84116-4537 | 2020-11-06 |
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1669090502 | Kelly Maree Gutpell | Student in an Organized Health Care Education/Training Program | 81 N Mario Capecchi Dr Ste 1a.011, Salt Lake City, UT 84113-1125 | 2020-07-07 |
| 1134744014 | Scarlet Reyes | Student in an Organized Health Care Education/Training Program | 25 S 1100 E Apt 14, Salt Lake City, UT 84102-1514 | 2020-06-16 |
| 1215553151 | Andrew Winn Bringhurst | Student in an Organized Health Care Education/Training Program | 1737 E Imperial Park Sq, Salt Lake City, UT 84106-5104 | 2020-06-16 |
| 1134744287 | Jillian G Barker | Student in an Organized Health Care Education/Training Program | 1345 S 400 E, Salt Lake City, UT 84115-1548 | 2020-06-15 |
| 1114542255 | Gustavo Carrillo | Student in an Organized Health Care Education/Training Program | 1652 W 800 S, Salt Lake City, UT 84104-3112 | 2020-06-15 |
| 1982229035 | Cristhian V. Toruno | Student in an Organized Health Care Education/Training Program | 448 N 1100 W, Salt Lake City, UT 84116-2649 | 2020-06-15 |
| 1144845108 | Huong T Pham | Student in an Organized Health Care Education/Training Program | 319 E Beldon Pl, Salt Lake City, UT 84111-3516 | 2020-06-15 |
| 1790300754 | Krista Huffaker | Student in an Organized Health Care Education/Training Program | 1212 E 500 S # 2, Salt Lake City, UT 84102-3223 | 2020-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84113 |
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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.