DR. DEVAN GRINER (NPI# 1780895755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780895755 |
| Entity Type | Individual |
| Full Name | DR. DEVAN GRINER |
| Credential | MD |
| Practice Address |
1055 N 300 W Ste 303 Provo UT 84604-3373 |
| Practice Telephone | 8017029191 |
| Practice Fax Number | 8016062705 |
| Mailing Telephone | 8017029191 |
| Mailing Fax Number | 8016062705 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 374716-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
374716-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
374716-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 103I933353 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1055 N 300 W Ste 301, Provo, UT 846043373 | 8016012268 | 8016012267 |
| 1441 Ute Blvd Ste 220, Park City, UT 840987636 | 4356475911 | 4356475930 |
| 3000 N Triumph Blvd Ste 260, Lehi, UT 840434999 | 8017029191 | 8016062705 |
| 3570 W 9000 S Ste 140, West Jordan, UT 84088 | 8016012268 | 8016012267 |
| 5089 S 900 E, Suite 100, Salt Lake City, UT 841175735 | 8017430700 | 8017430701 |
| Street Address |
1055 N 300 W STE 303 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386746659 | Julie Glenn Grover | Obstetrics & Gynecology | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2006-09-05 |
| 1700131844 | Konstantinos Segkos | Internal Medicine | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2012-07-16 |
| 1538458146 | Michael Darley | Internal Medicine | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2011-04-04 |
| 1336318666 | Utah Valley Obstetrical Ultra Sound | Radiologic Technologist | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2008-02-20 |
| 1336358217 | Lindsey Marie Hoffmann | Physician Assistant | 1055 N 300 W Ste 303, Provo, UT 84604-3373 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477041101 | Cranio Ninja LLC | Plastic Surgery | 1055 N 300 W Ste 301, Provo, UT 84604-3373 | 2018-04-27 |
| 1548336670 | Charles Vatcher Pledger | Plastic Surgery | 3650 North University Ave, Suite 200, Provo, UT 84604 | 2006-11-28 |
| 1336402569 | Elise Michelle Mecham | Plastic Surgery | 3550 N University Ave Ste 250, Provo, UT 84604-6695 | 2012-06-22 |
| 1790930212 | Charles V. Pledger M.d., P.C. | Plastic Surgery | 3650 N University Ave Ste 200, Provo, UT 84604-6658 | 2008-11-25 |
| 1720265432 | J.m. Clayton, Inc. | Plastic Surgery | 280 River Park Dr, Suite 240, Provo, UT 84604-5764 | 2008-01-24 |
| 1619162708 | Ihc Health Services Inc | Plastic Surgery | 1055 N 300 W, #302, Provo, UT 84604-3344 | 2007-09-11 |
| 1942210406 | Charles Herbert Stewart | Plastic Surgery | 3650 N University Ave, Suite 200, Provo, UT 84604-6656 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1073151536 | Christine A. Cheng Md PC | Plastic Surgery | 415 Medical Dr Ste D102, Bountiful, UT 84010-8906 | 2019-12-16 |
| 1477016079 | Teresa Zavala | Plastic Surgery | 6169 W Ridge Mesa Cir, West Valley City, UT 84128-5638 | 2019-04-10 |
| 1396261152 | Megan Lehane Delano | Plastic Surgery | 5169 Cottonwood St Ste 420, Murray, UT 84107 | 2017-08-14 |
| 1841736501 | Refine The Body Inc | Plastic Surgery | 1300 N 500 E Ste 260, Logan, UT 84341-2417 | 2017-01-18 |
| 1720320179 | Melody Scheefer Van Boerum | Plastic Surgery | 5445 S Highland Dr, Salt Lake City, UT 84117-7629 | 2013-03-25 |
| 1508156928 | Richard Tyrell | Plastic Surgery | 30 N 1900 E Rm 3b400, Salt Lake City, UT 84132-0002 | 2011-04-19 |
| 1194015693 | Jeremy Robert Chidester | Plastic Surgery | 11762 S State St Ste 333, Draper, UT 84020-7166 | 2011-04-18 |
| 1851617815 | Dana Nicole Johns | Plastic Surgery | University of Utah Hospital 50 N Medical Dr, Salt Lake City, UT 84132-0002 | 2010-04-15 |
| 1760705594 | Craig Davis | Plastic Surgery | 3163 N Grasslands Pkwy, Washington, UT 84780-2097 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DEVAN GRINER.
| 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.