DR. RICHARD V. MATERN


Address: 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853
Phone: 8014083771

DR. RICHARD V. MATERN (NPI# 1851571590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851571590
Entity Type Individual
Full Name DR. RICHARD V. MATERN
Credential M.D.
Practice Address 324 10th Ave
Ste 100
Salt Lake City
UT 84103-2853
Mailing Address Po Box 27128
Salt Lake City
UT 84127-0128
Practice Telephone 8014083771
Practice Fax Number 8014083772
Mailing Telephone 8018849728
Enumeration Date 2007-11-09
Last Update Date 2015-08-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 6012531-1205 UT Allopathic & Osteopathic Physicians
N 208800000X Urology MD.026474 LA Allopathic & Osteopathic Physicians

Office Location

Street Address 324 10TH AVE
STE 100
City SALT LAKE CITY
State UT
Zip Code 84103-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992700330 Leon E Paulos Orthopaedic Surgery 324 10th Ave, Suite 175, Salt Lake City, UT 84103-2853 2005-06-14
1568715092 Ihc Health Services Inc Psychiatry & Neurology 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2885 2012-10-22
1568747707 Nathan Carter Littlefield Nurse Practitioner 324 10th Ave, 100, Salt Lake City, UT 84103-2853 2011-10-19
1972824803 Wasatch Hematology / Oncology Associates, P.C. Internal Medicine 324 10th Ave, Suite 274, Salt Lake City, UT 84103-2853 2010-06-15
1235363094 Ihc Health Services Inc Clinic/Center 324 10th Ave, Ste 206, Salt Lake City, UT 84103-2853 2009-05-08
1174776348 Ihc Health Services Inc Internal Medicine 324 10th Ave, #249, Salt Lake City, UT 84103-2853 2008-10-31
1336307966 Ihc Health Services Inc Urology 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 2008-05-30
1427236082 Hyong Tae Kim Surgery 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 2008-02-06
1891979563 Celia A Garner Internal Medicine 324 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 2007-12-18
1902095631 Daniel Young Nurse Practitioner 324 10th Ave, Suite 206, Salt Lake City, UT 84103-2853 2007-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932509213 Paul David Rauch Specialist/Technologist 701 De Soto Street, Salt Lake City, UT 84103 2014-08-24
1073866695 University Neuropsychiatric Institute Community Based Residential Treatment Facility, Mental Illness 252 South 500 East, Salt Lake City, UT 84103 2012-10-19
1114285558 Christopher John Murphy Student in an Organized Health Care Education/Training Program 585 1st Ave, Salt Lake City, UT 84103 2012-04-23
1447573266 Peter Louis Kapelke Specialist Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 2010-03-08
1578763389 Susana Auhangamea Kinikini Nurse Practitioner Fairfax @ Virginia Street, Salt Lake City, UT 84103 2007-07-19
1609082320 Cynthia N Shumway Social Worker 580 10th Avenue, Salt Lake City, UT 84103 2007-05-16
1811010655 Kent Walker Farnsworth Obstetrics & Gynecology 1509 Federal Heights Drive, Salt Lake City, UT 84103 2007-04-09
1912082421 Eloise Agnes Maughan Nurse Practitioner 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 2006-10-25
1407968464 Kit D Smith Anesthesiology 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 2006-08-31
1396854113 Lisa H Carter Physical Therapist 1285 East Fairfax Road, Salt Lake City, UT 84103 2006-08-29
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154945061 Utah Urology Works LLC Urology 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 2020-06-05
1619402286 Andrew Mazzone Urology University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 2017-04-20
1588195135 Laurel S. Mast Urology 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 2017-03-24
1588933527 Hal H Bourne Urology 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 2011-12-20
1851627756 Ned Legrande Mangelson Urology 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 2009-10-27
1801067954 Sara Marie Lenherr Urology 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132-0002 2008-03-17
1982815718 Stanford S. Putman Urology 324 10th Ave Ste 178, Salt Lake City, UT 84103-2885 2007-05-24
1346396959 Jeremy Myers Urology University of Utah Division of Urology, 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132-0001 2007-01-26
1902364797 Matthew S. Swallow Urology 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 2019-03-11
1841757333 Sharon P. Lo Urology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2019-02-21
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Competitor

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City SALT LAKE CITY
Zip Code 84103

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Dataset Information

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.

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