HEALTHWORKS MED GROUP OF UTAH P C (NPI# 1790192235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192235 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MED GROUP OF UTAH P C |
| Other Organization Name | GOLDMAN SACHS HEALTH CENTER |
| Practice Address |
222 S Main St Salt Lake City UT 84101-2174 |
| Mailing Address |
5500 Maryland Way Brentwood TN 37027-4948 |
| Practice Telephone | 8018841801 |
| Practice Fax Number | 8018841807 |
| Mailing Telephone | 8018841801 |
| Mailing Fax Number | 8018841807 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-05-06 |
| Authorized Official Name | PETER VASQUEZ (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 6154686548 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Goldman Sachs Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063986800 | Healthworks Med Group of Utah P C | Clinic/Center | 4163 S 3200 W, West Valley City, UT 84119-5128 | 2019-01-15 |
| Street Address |
222 S MAIN ST |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962856922 | Molly Aldridge | Developmental Therapist | 222 S Main St, 5th Floor, Salt Lake City, UT 84101-2174 | 2016-04-15 |
| 1750622742 | Marc B Gunderson | Social Worker | 222 S Main St, Suite 500, Salt Lake City, UT 84101-2174 | 2013-03-15 |
| 1609129386 | Wb Eyecare LLC | Optometrist | 222 S Main St, Suite 110, Salt Lake City, UT 84101-2174 | 2012-10-18 |
| 1992959985 | Luce Forte | Physician Assistant | 222 S Main St, 14th Floor, Salt Lake City, UT 84101-2174 | 2008-11-04 |
| 1508973397 | Stephen Brockbank | Optometrist | 222 S Main St, Suite 110, Salt Lake City, UT 84101-2174 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
| 1649882069 | Vasco Healthcare Inc | Clinic/Center | 470 E 3900 S Ste 100, Salt Lake City, UT 84107-2331 | 2020-08-18 |
| 1487184610 | Heron Medical Pllc | Clinic/Center | 77 S 700 E Ste 220, Salt Lake City, UT 84102-1162 | 2017-06-20 |
| 1669683579 | University Health Care | Clinic/Center | 30 N 1900 E # 3r210, Salt Lake City, UT 84132-2305 | 2007-05-24 |
| 1114145224 | Bilingual Health Care Center | Clinic/Center | 650 S Redwood Rd, Salt Lake City, UT 84104-3617 | 2007-04-23 |
| 1831214253 | Ihc Health Services Inc | Clinic/Center | 675 E 500 S, Ste 300, Salt Lake City, UT 84102-2818 | 2007-03-21 |
| 1699795831 | Ihc Health Services, Inc. | Clinic/Center | 325 8th Ave, Salt Lake City, UT 84143-0001 | 2006-07-20 |
| 1689153561 | Community Birth Group | Clinic/Center | 1172 E 4th Ave, Salt Lake City, UT 84103-4124 | 2018-08-10 |
| 1174033989 | University of Utah Adult Services | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-10-06 |
| 1851826192 | Finding Home Healthcare, Inc. | Clinic/Center | 1385 W 2200 S Ste 201, Salt Lake City, UT 84119-7208 | 2017-04-24 |
| 1245553981 | Ihc Health Services Inc | Clinic/Center | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2010-03-09 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF UTAH P C.
| 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.