DR. ELIZABETH REYNOLDS SUNDERMAN (NPI# 1790723195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790723195 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH REYNOLDS SUNDERMAN |
| Credential | MD |
| Practice Address |
2000 S 900 E Salt Lake City UT 84105-3208 |
| Practice Telephone | 8014647660 |
| Mailing Telephone | 8014647660 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2009-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
49846411205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2000 S 900 E |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84105-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740232750 | Rachel Elizabeth Baar | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2006-05-17 |
| 1528689528 | Elizabeth Ashby | Specialist/Technologist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2020-04-30 |
| 1245754878 | Rebecca Vaillancourt Swain | Nurse Practitioner | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2017-07-26 |
| 1891242541 | Madelena H. Pimentel | Physician Assistant | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2016-09-09 |
| 1528488111 | Haddie Chaney | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-04-22 |
| 1417374323 | Robert J Willer Jr. | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2014-03-28 |
| 1184055592 | Derek John Storrs | Physical Therapist | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-12-11 |
| 1033558903 | Igor A Areinamo | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2013-06-24 |
| 1093014425 | Barbora Dvorakova Nelson | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2011-03-24 |
| 1851617716 | Kortni Lynn Unger | Pediatrics | 2000 S 900 E, Salt Lake City, UT 84105-3208 | 2010-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285106237 | Laiyan H Bawadeen | Counselor | 1425 700 E Suite #102, Salt Lake City, UT 84105 | 2018-12-31 |
| 1639644255 | Claire Elizabeth Gray | Marriage & Family Therapist | 1425 700 East, Salt Lake City, UT 84105 | 2018-10-10 |
| 1083089643 | Celisa Packer | Social Worker | 2020 E Lake St, Salt Lake City, UT 84105 | 2015-12-08 |
| 1083052963 | Christina Elizabeth Burton | Nurse Practitioner | 1008 S 1100 E, Apt 6, Salt Lake City, UT 84105 | 2013-06-12 |
| 1649548355 | Leland Burt Cowan | Surgery | 1405 Princeton Ave, Salt Lake City, UT 84105 | 2011-12-08 |
| 1639460355 | Sally Cathleen Webster | Counselor | 1248 Yale Avenue, Salt Lake City, UT 84105 | 2011-04-28 |
| 1912205105 | Melissa Wilson | Case Manager/Care Coordinator | 1522 S 1100 E, Salt Lake City, UT 84105 | 2011-03-11 |
| 1013215789 | Tamara Marie Wright | Counselor | 1996 Lake St, Salt Lake City, UT 84105 | 2011-03-04 |
| 1144527243 | Crystal Nicole Garduno | Counselor | 1522 South 1100 East, Salt Lake City, UT 84105 | 2011-02-25 |
| 1508011180 | Keith Elliott | Anesthesiology | 1552 South 1000 East, Salt Lake City, UT 84105 | 2008-11-24 |
| Find all providers in zip 84105 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720648744 | Carepoint Health, LLC | Psychiatry & Neurology | St. Mark's Hospital, 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2019-06-20 |
| 1801273743 | Michael Cline | Psychiatry & Neurology | 825 E 1700 S, Salt Lake City, UT 84105-3225 | 2015-04-29 |
| 1619219847 | Mark Waheed | Psychiatry & Neurology | The University of Utah, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2013-03-26 |
| 1568707586 | Kyle Mahoney | Psychiatry & Neurology | 175 N Medical Drive E 3rd Floor, Salt Lake City, UT 84132 | 2012-12-03 |
| 1699076224 | Angela Yvonne Peters | Psychiatry & Neurology | University of Utah Dept of Neurology, 175 N Medical Drive East, Salt Lake City, UT 84132-0001 | 2010-11-12 |
| 1568697514 | Safdar Abbas Ansari | Psychiatry & Neurology | 175 N Medical Dr E Rm 3130, University of Utah, Clinical Neuroscience Center, Salt Lake City, UT 84132-0001 | 2009-05-20 |
| 1427235001 | Kevin Alan Walker | Psychiatry & Neurology | 440 D St Ste 200, Salt Lake City, UT 84103-2827 | 2008-01-26 |
| 1144376831 | Pegah Afra | Psychiatry & Neurology | Department of Neurology 175 North Medical, Salt Lake City, UT 84132-0001 | 2007-01-26 |
| 1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
| 1831271352 | Sharon Mae Weinstein | Psychiatry & Neurology | Veterans Affairs Slchcs, 500 Foothill Blvd - 112, Salt Lake City, UT 84148-0001 | 2006-10-20 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84105 |
Please comment or provide details below to improve the information on DR. ELIZABETH REYNOLDS SUNDERMAN.
| 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.