RICHARD L GLINES (NPI# 1790794063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790794063 |
| Entity Type | Individual |
| Full Name | RICHARD L GLINES |
| Credential | M.D. |
| Practice Address |
1250 E 3900 S #30 Salt Lake City UT 84124 |
| Mailing Address |
Po Box 271220 Salt Lake City UT 84127-1220 |
| Practice Telephone | 8012687725 |
| Mailing Telephone | 8015341360 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 7596444-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
7596444-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1790794063 | 05 |
| Street Address |
1250 E 3900 S #30 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530305 | Camille Collett | Family Medicine | 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 | 2005-07-05 |
| 1548795792 | Cammey Young | Family Medicine | 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 | 2017-04-25 |
| 1285167015 | Danielle Williamson Lin | Student in an Organized Health Care Education/Training Program | 1250 E 3900 S, 260, Salt Lake City, UT 84124-1348 | 2017-04-08 |
| 1609308717 | Brian Christopher Johnson | Family Medicine | 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 | 2017-03-29 |
| 1144776089 | Rosemarie Linsler | Nurse Practitioner | 1250 E 3900 S, #260, Salt Lake City, UT 84124-1348 | 2016-08-31 |
| 1104289487 | Alec Kitch | Family Medicine | 1250 E 3900 S, Suite #260 Br, Salt Lake City, UT 84124-1348 | 2016-04-03 |
| 1538522461 | Ian Michael Mcdaniels | Family Medicine | 1250 E 3900 S, Suite 260, Salt Lake City, UT 84124-1348 | 2016-03-29 |
| 1891151668 | Abby N Crume Do PC | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2016-01-11 |
| 1679955017 | Summit Oral & Maxillofacial Surgery | Dentist | 1250 E 3900 S, Ste 210, Salt Lake City, UT 84124-1348 | 2015-06-22 |
| 1447667217 | Granger Medical Clinic, Inc. | Clinic/Center | 1250 E 3900 S, Suite 250, Salt Lake City, UT 84124-1348 | 2014-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720173164 | David Demoin Byrd | Pain Medicine | 1200 E 3900 S, Salt Lake City, UT 84124-1300 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972862605 | Intermountain Pain Management and Injury, Inc | Pain Medicine | 6575 S Redwood Rd, St 201, Taylorsville, UT 84123-5688 | 2012-05-15 |
| 1285958439 | Advanced Spine Pain Specialists | Pain Medicine | 286 N Gateway Dr Ste 201, Providence, UT 84332-5603 | 2010-03-17 |
| 1619907490 | Kyle Shigeru Matsumura | Pain Medicine | 6750 S Highland Drive, Ste 100, Cottonwood Heights, UT 84121 | 2006-07-04 |
| 1326665829 | Wasatch Wellness Center LLC | Pain Medicine | 1215 S 1680 W, Orem, UT 84058-4939 | 2020-06-30 |
| 1689226391 | Utah Intermountain Pain Management | Pain Medicine | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1568909836 | Glacier Peak Pain Care Pllc | Pain Medicine | 1407 N 2000 W, Clinton, UT 84015-8562 | 2017-01-25 |
| 1073959714 | Wasatch Sports, Spine & Pain Treatment Center Pllc | Pain Medicine | 680 E Main St, 202, Lehi, UT 84043-2241 | 2013-05-21 |
| 1841531340 | Wasatch Pain Solutions, PC | Pain Medicine | 661 W 10600 S, South Jordan, UT 84095-8524 | 2013-03-07 |
| 1376821587 | Canyon Ridge Pain and Spine PC | Pain Medicine | 1551 Renaissance Towne Dr, Suite 460, Bountiful, UT 84010-7667 | 2011-07-22 |
| 1063721850 | Alta Pain Physicians, Pllc | Pain Medicine | 11333 S 1000 E, #102, Sandy, UT 84094-5428 | 2010-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.