MICHAEL CHAD MAHAN


Address: 590 S Wakara Way, Salt Lake City, UT 84108-1200
Phone: 8015875400

MICHAEL CHAD MAHAN (NPI# 1811316847) 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) 1811316847
Entity Type Individual
Full Name MICHAEL CHAD MAHAN
Credential M.D.
Practice Address 590 S Wakara Way
Salt Lake City
UT 84108-1200
Practice Telephone 8015875400
Mailing Telephone 8015875400
Enumeration Date 2014-04-07
Last Update Date 2019-06-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 11265662-1205 UT Allopathic & Osteopathic Physicians
Y 207XS0114X Orthopaedic Surgery
Specialization: Adult Reconstructive Orthopaedic Surgery
11265662-1205 UT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
2799 W Grand Blvd, Henry Ford Hospital Medical Education Department, Detroit, MI 482022608 3139162600

Other Providers MICHAEL MAHAN

NPI Name Taxonomy Address Enumeration
1942500608 Michael R Mahan Physical Therapist 830 Falls Creek Dr., Vandalia, OH 45377-9415 2010-10-28
1063921476 Michael Craig Mahan Physical Medicine & Rehabilitation 2490 Willamette St Ste 5, Eugene, OR 97405-7211 2017-09-28
1730634072 Michael Mahan Counselor 6633 E Highway 290, Suite 212, Austin, TX 78723-1172 2016-08-16
1265844922 Michael Orin Mahan Chiropractor 1606 S Commercial Ave, Coleman, TX 76834-5018 2014-05-28
1962658914 Michael J Mahan Counselor 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807-3315 2008-08-11
1922038892 Michael A Mahan Family Medicine 610 W Adams St, Black River Falls, WI 54615-9010 2006-07-04
1518959659 Michael M Mahan Chiropractor 214 S Mountain St, Union, SC 29379-2331 2005-08-16

Office Location

Street Address 590 S WAKARA WAY
City SALT LAKE CITY
State UT
Zip Code 84108-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174524862 Kimberly M Ross Occupational Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2005-08-03
1558988717 Logan James Couce Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-07-02
1457976581 Abigail Bigham Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-06-15
1073141768 Matthew Jiajing Siebert Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-30
1326676370 Joshua Paul Rainey Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-27
1407483886 Olivia Grothaus Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1316574775 Eleanor Hope Sato Student in an Organized Health Care Education/Training Program 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-03-25
1922632959 Alexander John Reese Pharmacist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2020-02-28
1679110548 Byron C Miller Physical Therapist 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-12-10
1851933501 Gabrielle Lecheminant Grimmer Physician Assistant 590 S Wakara Way, Salt Lake City, UT 84108-1200 2019-10-15
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
Find all providers in zip 84108

Taxonomy Information

Taxonomy Code 207XS0114X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Adult Reconstructive Orthopaedic Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942292446 Bruce G Evans Orthopaedic Surgery 1160 East 3900 South, Suite 5000, Salt Lake City, UT 84124-1275 2005-08-19
1740676394 Matthew C. Christie Orthopaedic Surgery 590 S Wakara Way, Salt Lake City, UT 84108-1200 2015-04-10
1437579893 Steven Donohoe Orthopaedic Surgery 590 S Wakara Way, Salt Lake City, UT 84108-1200 2014-04-23
1548410608 G Lynn Rasmussen Md PC Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 2008-09-25
1366624991 Nathan G Momberger Md PC Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107-6121 2007-12-05
1568456242 Kim C Bertin Orthopaedic Surgery 24 S 1100 E, Ste 101, Salt Lake City, UT 84102-1500 2005-09-08
1073505582 Michael H Bourne Orthopaedic Surgery 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 2005-08-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083953558 Russell L Nelson, M.d. PC Orthopaedic Surgery 5323 S Woodrow St Ste 200, Murray, UT 84107-5844 2013-02-04
1669416129 John M Hillyard Orthopaedic Surgery 1899 E Mystic Grove Cv, Cottonwood Heights, UT 84093-5509 2006-06-15
1063645554 Yvonne Potter Fuellenbach Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2009-08-31
1326286972 Peter G. Larcom Md PC Orthopaedic Surgery 5323 South Woodrow Street Suite 200, Murray, UT 84107 2009-02-04
1366460420 G Lynn Rasmussen Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-17
1467486795 Nathan G Momberger Orthopaedic Surgery 5848 Fashion Blvd Ste 110, Murray, UT 84107-6121 2006-07-11
1821029869 Peter G Larcom Orthopaedic Surgery 5316 S Woodrow St Ste 200, Murray, UT 84107-5838 2006-07-06

Competitor

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City SALT LAKE CITY
Zip Code 84108

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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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