DIABETES SPECIALTY CENTER (NPI# 1831460757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831460757 |
| Entity Type | Organization |
| Organization Name | DIABETES SPECIALTY CENTER |
| Practice Address |
1492 W Antelope Dr Layton UT 84041-1139 |
| Mailing Address |
3793 S State St Salt Lake City UT 84115-4828 |
| Practice Telephone | 8013136864 |
| Practice Fax Number | 8013136863 |
| Mailing Telephone | 8007754372 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Authorized Official Name | MR. MARC COHEN (OWNER/ PRESIDENT/CEO) |
| Authorized Official Telephone | 8012635442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | LIC2003-00012 | UT | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199666 | Diabetes Specialty Center | Pharmacy | 3744 Second Street, Ste A, Salt Lake City, UT 84115 | 2006-01-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Diabetes Specialty Center, L.L.C. | 120 Bloomingdale Rd. Suite 301, Attn: Legal, White Plains, NY 10605 |
| Oklahoma Business Registrations | DIABETES SPECIALTY CENTER, L.L.C. | 120 Bloomingdale Road, 301, White Plains, NY 10605 |
| Washington State Corporations | DIABETES SPECIALTY CENTER, LLC | 120 Bloomingdale Rd #301, White Plains, NY 10605 |
| Street Address |
1492 W ANTELOPE DR |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-1139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467452383 | Karen Boheen | Obstetrics & Gynecology | 1492 W Antelope Dr, #205, Layton, UT 84041-1139 | 2005-07-21 |
| 1598264624 | Bronda Annelle Kaschmitter | Occupational Therapist | 1492 W Antelope Dr, Layton, UT 84041-1139 | 2018-02-04 |
| 1376082115 | Kade Erickson | Physical Therapist | 1492 W Antelope Dr, Ste 100, Layton, UT 84041-1139 | 2017-02-13 |
| 1902263825 | Oakstead Infusion Pharmacy, LLC | Home Infusion | 1492 W Antelope Dr, Suite 208, Layton, UT 84041-1139 | 2016-01-22 |
| 1538445820 | Davis Endocrinology and Diabetes LLC | Internal Medicine | 1492 W Antelope Dr, Suite 115, Layton, UT 84041-1139 | 2011-10-31 |
| 1003124256 | Barbara Morrell Hughes PC | Social Worker | 1492 W Antelope Dr, Suite #250, Layton, UT 84041-1139 | 2010-09-22 |
| 1922230770 | Dominika Gabriela Janowski | Internal Medicine | 1492 W Antelope Dr, 203, Layton, UT 84041-1139 | 2009-08-12 |
| 1952535106 | University Hospital | Clinic/Center | 1492 W Antelope Dr, Suite 203, Layton, UT 84041-1139 | 2009-05-02 |
| 1235395377 | University of Utah Hospitals and Clinics | Optometrist | 1492 W Antelope Dr, Ste. 150, Layton, UT 84041-1139 | 2008-07-29 |
| 1366602484 | Randall W Erickson | Physical Therapist | 1492 W Antelope Dr, Ste 100, Layton, UT 84041-1139 | 2008-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483567 | Cranio Ninja LLC | Durable Medical Equipment & Medical Supplies | 975 N Main St Ste 3a, Layton, UT 84041-2200 | 2020-10-05 |
| 1588138580 | Sound Sleep Medical LLC | Durable Medical Equipment & Medical Supplies | 365 W 1550 N, Layton, UT 84041-6888 | 2019-01-14 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912427220 | Precision Pain Relief, Inc | Durable Medical Equipment & Medical Supplies | 958 N 3500 W, Layton, UT 84041 | 2017-06-27 |
| 1760899611 | Mobility Enhancement, LLC | Durable Medical Equipment & Medical Supplies | 976 North Marshall Way, Unit 1, Layton, UT 84041 | 2014-07-11 |
| 1801213848 | Paul Mcgraw | Durable Medical Equipment & Medical Supplies | 733 King St # 271, Layton, UT 84041-4672 | 2014-03-27 |
| 1942630686 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1660 W Antelope Dr Ste 120, Layton, UT 84041-1163 | 2013-11-15 |
| 1134238439 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 860 North Fairfield Road, Layton, UT 84041-2725 | 2006-08-30 |
| 1396750337 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1171 W 2000 N, Layton, UT 84041-1638 | 2006-07-29 |
| 1538181219 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 815 W 2000 N, Layton, UT 84041-1632 | 2006-07-24 |
| Find all providers in LAYTON | ||||
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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.