PALLIATIVE SPECIALTY GROUP LLC (NPI# 1831568906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831568906 |
| Entity Type | Organization |
| Organization Name | PALLIATIVE SPECIALTY GROUP LLC |
| Practice Address |
1106 E 6600 S Murray UT 84121-2446 |
| Practice Telephone | 8019305266 |
| Practice Fax Number | 8019305272 |
| Mailing Telephone | 8019305266 |
| Mailing Fax Number | 8019305272 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Authorized Official Name | ERIN BENNETT (OWNER) |
| Authorized Official Telephone | 8019305266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5096442-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1106 E 6600 S |
| City | MURRAY |
| State | UT |
| Zip Code | 84121-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427626 | Andrea Marie Martinez | Nurse Practitioner | 1106 E 6600 S, Murray, UT 84121-2446 | 2018-11-29 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104391580 | Kelli Ramsey | Family Medicine | 506 N 12th St Ste A, Murray, KY 42071-1660 | 2018-10-11 |
| 1316329329 | Nicholas Noble | Family Medicine | 5980 S Fashion Blvd, Murray, UT 84107-7362 | 2015-06-25 |
| 1053594861 | Peter V Sundwall Md PCa | Family Medicine | 4815 Center St, Murray, UT 84107-4814 | 2007-12-14 |
| 1487836532 | Amazing Medical Associates, Inc | Family Medicine | 434 W Ascension Way Ste 225, Murray, UT 84123 | 2007-11-30 |
| 1114111879 | Catherine Nicole Dickinson | Family Medicine | 300 S 8th St Ste 480w, Murray, KY 42071-2403 | 2007-09-05 |
| 1871527440 | Matthew David Agresta | Family Medicine | 55050 South 900 East #240, Murray, UT 84117-1301 | 2006-07-10 |
| 1831674654 | Vmd Primary Providers Central Kentucky | Family Medicine | 1000 S 12th St, Murray, KY 42071-9303 | 2018-09-27 |
| 1063861524 | Joshua Scearce | Family Medicine | 300 S 8th St Ste 480w, Murray, KY 42071-2403 | 2016-06-06 |
| 1407275787 | Lauren Wood | Family Medicine | 181 E Medical Tower Dr, Murray, UT 84107 | 2014-04-15 |
| 1821355827 | Nicholas James Duncan | Family Medicine | 181 E Medical Tower Dr, Murray, UT 84107-4872 | 2012-04-13 |
| Find all providers in MURRAY | ||||
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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.