GLEN LUND (NPI# 1841463155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841463155 |
| Entity Type | Individual |
| Full Name | GLEN LUND |
| Credential | M.D. |
| Practice Address |
404 S 400 W Salt Lake City UT 84101-2201 |
| Practice Telephone | 8013640058 |
| Practice Fax Number | 8013640161 |
| Mailing Telephone | 8013640058 |
| Mailing Fax Number | 8013640161 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 145688-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
404 S 400 W |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84101-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366495459 | Tanya Maile Williams | Family Medicine | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2006-05-18 |
| 1407294903 | Phillip Don Taylor | Nurse Practitioner | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2013-06-06 |
| 1144596834 | Tiffiny Gregory | Physician Assistant | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2012-03-27 |
| 1477833382 | Alissa Lai-ming Firmage | Nurse Practitioner | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2011-08-23 |
| 1104111723 | Phuong Vo Sheffer | Pharmacist | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2011-06-10 |
| 1407179203 | Amber Poyer | Physician Assistant | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2010-03-08 |
| 1255661427 | Barbara S Reid | Pediatrics | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2010-01-11 |
| 1770757940 | Ruth Miller-thomas | Social Worker | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2008-04-17 |
| 1649458860 | Ruth Ann Smith | Internal Medicine | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2008-02-11 |
| 1538350749 | Samuel B Vincent | Registered Nurse | 404 S 400 W, Salt Lake City, UT 84101-2201 | 2007-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053804237 | Holly Smith | Registered Nurse | 1020 S Main Street, Salt Lake City, UT 84101 | 2018-06-12 |
| 1174999627 | Justin Williams | Social Worker | 155 W. 300 S., Salt Lake City, UT 84101 | 2015-08-19 |
| 1902291842 | Daryl Ray Ezidore | Student in an Organized Health Care Education/Training Program | 100 South 344 East, Salt Lake City, UT 84101 | 2015-03-30 |
| 1104190859 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 50 S Main St Ste 115, Salt Lake City, UT 84101 | 2012-02-28 |
| 1366713307 | Gonstead Family Chiropractic | Chiropractor | 1154 S. 300 W., Suite C, Salt Lake City, UT 84101 | 2012-01-23 |
| 1659544880 | Jeffrey Daniel | Registered Nurse | 404 South 400 West, Salt Lake City, UT 84101 | 2008-04-09 |
| 1306030580 | Christopher Dean Chapman | Chiropractor | 345 W 100 S Ste 6c, Salt Lake City, UT 84101 | 2007-08-30 |
| 1689713497 | Walter Landon Bye | Dentist | 15 West South Temple, Gateway Tower West Suite 440, Salt Lake City, UT 84101 | 2007-02-06 |
| 1154403152 | Allison Miller Gardner | Physical Therapist | 84 West 700 South, Salt Lake City, UT 84101 | 2006-10-19 |
| 1780655407 | Frederick Van Der Veur | Social Worker | 1020 South Main Street, 242, Salt Lake City, UT 84101 | 2006-01-30 |
| Find all providers in zip 84101 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84101 |
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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.