KEVIN HUMMEL (NPI# 1801216957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
2200 Childrens Way, Nashville, TN 372329760 | 6153223023 |
Street Address |
30 N 1900 E # 1C412 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84132-9760 |
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 |
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 Code | 2080P0203X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Critical Care Medicine |
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) |
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 |
City | SALT LAKE CITY |
Zip Code | 84132 |
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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.