KEVIN HUMMEL


Address: 30 N 1900 E # 1c412, Salt Lake City, UT 84132-9760
Phone: (801) 587-7572

KEVIN HUMMEL (NPI# 1801216957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801216957
Entity Type Individual
Full Name KEVIN HUMMEL
Credential MD
Practice Address 30 N 1900 E # 1c412
Salt Lake City
UT 84132-9760
Mailing Address 30 N. 1900 East, 1c412
Salt Lake City
UT 84132-9760
Practice Telephone (801) 587-7572
Mailing Telephone (801) 587-7572
Enumeration Date 2014-04-16
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0203X Pediatrics
Specialization: Pediatric Critical Care Medicine
102465641205 UT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
2200 Childrens Way, Nashville, TN 372329760 6153223023

Office Location

Street Address 30 N 1900 E # 1C412
City SALT LAKE CITY
State UT
Zip Code 84132-9760

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598056848 Miriam Peckham Radiology 30 N 1900 E # 1c412, Gme Office, Salt Lake City, UT 84132-2115 2011-04-20
1679952972 Joel Kevin Bagley II Student in an Organized Health Care Education/Training Program 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 2015-05-20
1376939702 Bornali Kundu Neurological Surgery 30 N 1900 E # 1c412, Department of Neurosurgery, Clin Neuroscienc Center, Salt Lake City, UT 84132-0002 2015-04-13
1093100372 Aaron Marcus Conger Physical Medicine & Rehabilitation 30 N 1900 E # 1c412, Salt Lake City, UT 84132-2115 2015-04-02
1083008569 Kathryn Totino Radiology 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 2015-03-24
1700293974 Ali Alalawi Student in an Organized Health Care Education/Training Program 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 2014-07-18
1114330685 Jennifer Hemberg Pediatrics 30 N 1900 E # 1c412, Salt Lake City, UT 84132-5000 2014-06-03
1215374772 Sanaa Beguwala Student in an Organized Health Care Education/Training Program 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 2013-05-23
1225370802 Abdulmohsin M.s Ahmadjee Student in an Organized Health Care Education/Training Program 30 N 1900 E # 1c412, Salt Lake City, UT 84132-0002 2013-03-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 2080P0203X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Critical Care Medicine

Taxonomy Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942642541 Elizabeth Quigley Pediatrics 515 E 100 S Ste 200, Salt Lake City, UT 84102-2095 2013-07-23
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
1588634729 William Bradley Poss Pediatrics 295 E Chipeta Way, Salt Lake City, UT 84108-1287 2006-01-23
1174056758 Andrew Daniel Fontes Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108-1287 2017-04-10
1457883449 Lauren Burgunder Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108-1287 2017-03-30
1891156741 University of Utah Pediatric Acuity Care Pediatrics 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2016-03-18
1669866133 Angela Coker Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108 2015-03-23
1972842813 Tighe Nicholas Marrone Pediatrics 295 S Chipeta Way, Salt Lake City, UT 84108-1287 2013-02-13
1801153358 Erin Bennett Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113 2012-04-20
1619119203 Hillary Ann Crandall Pediatrics 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 2009-03-30
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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Dataset Information

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.

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