DR. J ERIC VANDERHOOFT (NPI# 1821080326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821080326 |
| Entity Type | Individual |
| Full Name | DR. J ERIC VANDERHOOFT |
| Credential | MD |
| Practice Address |
1160 E 3900 S #5000 Salt Lake City UT 84124-1275 |
| Practice Telephone | 8012628486 |
| Practice Fax Number | 8012848699 |
| Mailing Telephone | 8012628486 |
| Mailing Fax Number | 8012848699 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2011-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2747311205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D0719 | 05 |
| Street Address |
1160 E 3900 S #5000 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164414017 | Edward W Ganellen | Internal Medicine | 1160 E 3900 S, Suite 2000, Salt Lake City, UT 84124-1202 | 2005-08-17 |
| 1962853432 | Nicholas J. Paulk Md, PC | Surgery | 1160 E 3900 S, Ste 4100, Salt Lake City, UT 84124-1202 | 2016-06-27 |
| 1174988489 | Michael Pulley | Physician Assistant | 1160 E 3900 S, Siuite 5000, Salt Lake City, UT 84124-1202 | 2015-12-31 |
| 1972972883 | Aaron Adams | Nurse Practitioner | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1236 | 2015-09-21 |
| 1578962700 | Marc Waters | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-08-13 |
| 1538576673 | Heidi Favero | Nurse Practitioner | 1160 E 3900 S, Ste 3500, Salt Lake City, UT 84124-1202 | 2014-07-21 |
| 1255744017 | Tyler Williamson | Physician Assistant | 1160 E 3900 S, Suite 5000, Salt Lake City, UT 84124-1202 | 2014-06-09 |
| 1922342732 | St. Mark's Physician Billing, LLC | Clinic/Center | 1160 E 3900 S, Ste G200, Salt Lake City, UT 84124-1202 | 2012-11-16 |
| 1043561517 | Ashley Majoskey | Physician Assistant | 1160 E 3900 S, Ste 2000, Salt Lake City, UT 84124-1202 | 2012-09-25 |
| 1437446168 | Mountainstar Cardiology St Marks LLC | Internal Medicine | 1160 E 3900 S, Ste. 2000, Salt Lake City, UT 84124-1202 | 2011-07-01 |
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| 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 |
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| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629210372 | Sidney Lincoln Baucom | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2009-03-26 |
| 1891952545 | Valerie Marie Wolfe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2008-05-20 |
| 1629168216 | Don A. Coleman | Orthopaedic Surgery | 590 Wakara Way, Salt Lake City, UT 84108-1200 | 2006-10-13 |
| 1487680609 | University of Utah Orthopedic Consultants | Orthopaedic Surgery | 590 Wakara Way, Salt Lake City, UT 84108-1200 | 2006-06-23 |
| 1891787339 | Christopher H Martin | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932261005 | Robert H Horne | Orthopaedic Surgery | 3015 Mount Jordan Rd, Sandy, UT 84092-3384 | 2006-12-15 |
| 1205939089 | Curtis C Johnson | Orthopaedic Surgery | 1055 N 500 W Ste 207, Provo, UT 84604-3305 | 2006-09-06 |
| 1417268368 | David Erik Peterson | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2010-06-25 |
| 1346491917 | Laird S Swensen | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-10-01 |
| 1104000637 | Allen R Groebs Md PC | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2007-12-19 |
| 1275714115 | William Frederick Gowski | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2007-11-20 |
| 1558550319 | Cache Orthopaedics PC | Orthopaedic Surgery | 2380 N 400 E, Ste G, Logan, UT 84341-1749 | 2007-10-17 |
| 1750599171 | Jonathan A Donigan | Orthopaedic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2007-05-18 |
| 1356470033 | Brett Evan Richards | Orthopaedic Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2007-03-05 |
| 1720123383 | Ihc Health Services Inc | Orthopaedic Surgery | 4403 Harrison Blvd, Suite 2400, Ogden, UT 84403-3271 | 2007-02-21 |
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| 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.