DAVIDSON ORTHOPEDICS LLC (NPI# 1821468109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821468109 |
| Entity Type | Organization |
| Organization Name | DAVIDSON ORTHOPEDICS LLC |
| Practice Address |
6360 S 3000 E Suite 200 Salt Lake City UT 84121-6923 |
| Mailing Address |
15 Normans Way Park City UT 84060-6895 |
| Practice Telephone | 8017978000 |
| Mailing Telephone | 4357299200 |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |
| Authorized Official Name | MS. RUTH DAVIDSON (MANAGER) |
| Authorized Official Telephone | 4357299200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 70109741205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
6360 S 3000 E SUITE 200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84121-6923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801340823 | Lorna Baer | Nurse Practitioner | 6360 S 3000 E, Suite 220, Salt Lake City, UT 84121-6923 | 2016-08-08 |
| 1417312604 | Shannon Michelle Montague | Nurse Practitioner | 6360 S 3000 E, 210, Salt Lake City, UT 84121-6923 | 2015-12-15 |
| 1760859300 | Christopher Matich | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2015-08-31 |
| 1851777353 | Utah Orthopedic, Spine & Injury Center | Orthopaedic Surgery | 6360 S 3000 E, Salt Lake City, UT 84121-6923 | 2015-08-06 |
| 1194119149 | Emily Bloomquist | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2015-03-26 |
| 1982007530 | Rebecca Thatcher | Physician Assistant | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2014-09-26 |
| 1427463439 | Anesthesia Associates of Utah LLC | Nurse Anesthetist, Certified Registered | 6360 S 3000 E, Suite 320, Salt Lake City, UT 84121-6923 | 2014-06-27 |
| 1043659055 | Benjamin Arthur Thomas | Podiatrist | 6360 S 3000 E, Ste 100, Salt Lake City, UT 84121-6923 | 2013-06-24 |
| 1831450113 | Physical Therapy and Sports | Physical Therapist | 6360 S 3000 E, Suite 210, Salt Lake City, UT 84121-6923 | 2012-06-04 |
| 1295003234 | Abbie Lyn Siebenhaar | Physician Assistant | 6360 S 3000 E, Ste 310, Salt Lake City, UT 84121-6923 | 2011-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407483522 | Kaitlyn Horne | Behavior Technician | 6910 S. Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-26 |
| 1952936387 | Jared Wells | Behavior Technician | 6910 S Highland Drive, Cottonwood Heights, UT 84121 | 2020-03-05 |
| 1518591874 | Slc Plastic Surgery LLC | Plastic Surgery | 6686 Highland Drive, Cottonwood Heights, UT 84121 | 2020-02-26 |
| 1093273708 | Anna O'hearon | Counselor | New Roads Behavioral Health, 2450 Fort Union Blvd, Cottonwood Heights, UT 84121 | 2019-03-12 |
| 1053883181 | Charles Keller IIi | Pediatrics | 2198 S Yvonne Rd #344, Salt Lake City, UT 84121 | 2018-12-31 |
| 1669964516 | Marissa King | Specialist | 1141 E. 3900 S. Suite 150a, Salt Lake, UT 84121 | 2018-06-05 |
| 1376044313 | Slpd Cottonwood LLC | Dentist | 7167 South Highland Drive, 200, Cottonwood Heights, UT 84121 | 2018-02-26 |
| 1700315462 | Nelson & Tillmann Family Dentistry, PC | Dentist | 5872 S. 900 E. Ste 202, Salt Lake City, UT 84121 | 2017-06-07 |
| 1912430588 | Wasatch Midwifery and Wellness, LLC | Dietitian, Registered | 6440 S Wasatch Blvd, Ste 140, Holladay, UT 84121 | 2017-04-10 |
| 1407308331 | Tina Polgar | Registered Nurse | 6244 Highland Drive, Murray, UT 84121 | 2016-10-26 |
| Find all providers in zip 84121 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 |
|---|---|---|---|---|
| 1144582354 | Daniel Bradley Gibbs | Orthopaedic Surgery | 6360 S 3000 E # Sre210, Salt Lake City, UT 84121 | 2012-06-13 |
| 1992037410 | Geoffrey Alvin Orme | Orthopaedic Surgery | 2045 E 900 S, Salt Lake City, UT 84108-1301 | 2010-02-09 |
| 1700050044 | Junius Clawson Md PC | Orthopaedic Surgery | 5810 S 300 E Ste 300, Salt Lake City, UT 84107-8176 | 2008-04-17 |
| 1376764282 | Joan D Miles | Orthopaedic Surgery | 5169 S Cottonwood St Ste 430, Salt Lake City, UT 84107-6774 | 2007-05-01 |
| 1407988504 | Johnathan Horne | Orthopaedic Surgery | 6362 Vintage Oak Ln, Salt Lake City, UT 84121-6544 | 2007-03-12 |
| 1578606562 | Craig Hugh Mcqueen | Orthopaedic Surgery | 1250 E 3900 S Ste 4050, Salt Lake City, UT 84124-1348 | 2007-02-15 |
| 1548351364 | John F Bermen Jr. | Orthopaedic Surgery | 3465 S 4155 West, Suite 5, Salt Lake City, UT 84120-2013 | 2006-09-27 |
| 1669563706 | Utah Bone & Joint Center Lc | Orthopaedic Surgery | 5323 S. Woodrow St, Ste 202, Salt Lake City, UT 84107 | 2006-09-27 |
| 1255378063 | Kent Mitchell Samuelson | Orthopaedic Surgery | 324 10th Avenue, #100, Salt Lake City, UT 84103 | 2006-06-01 |
| 1104881499 | Jacques L. D'astous | Orthopaedic Surgery | Fairfax Road At Virginia Street, Shriners Hospitals for Children, Salt Lake City, UT 84103-4399 | 2006-04-19 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84121 |
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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.