SUSAN CRAWFORD CHORTKOFF


Address: John A Moran Eye Ctr, 65 North Mario Capecchi Drive, Salt Lake City, UT 84132-0001
Phone: 8015812352

SUSAN CRAWFORD CHORTKOFF (NPI# 1861792665) 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) 1861792665
Entity Type Individual
Full Name SUSAN CRAWFORD CHORTKOFF
Other Name SUSAN LEIGH CRAWFORD
Credential M.D.
Practice Address John A Moran Eye Ctr
65 North Mario Capecchi Drive
Salt Lake City
UT 84132-0001
Practice Telephone 8015812352
Mailing Telephone 8015812352
Enumeration Date 2010-10-26
Last Update Date 2011-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 7116185-1205 UT Allopathic & Osteopathic Physicians

Office Location

Street Address JOHN A MORAN EYE CTR
65 NORTH MARIO CAPECCHI DRIVE
City SALT LAKE CITY
State UT
Zip Code 84132-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902338429 Theresa Marie Long Ophthalmology John A Moran Eye Ctr, 65 Mario Capecchi Drive, Salt Lake City, UT 84132-0001 2017-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275162331 Scott Andrew Rizzi Student in an Organized Health Care Education/Training Program 30 North 1900 East Som 4c116, Salt Lake City, UT 84132 2020-04-02
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1366975914 Jacob Brandenburg Anesthesiology School of Medicine 30 North 1900 East Room 3c444, Salt Lake City, UT 84132 2017-04-10
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1912350083 Gmaan Alzhrani Student in an Organized Health Care Education/Training Program 175 N. Medical Drive East
, Salt Lake City, UT 84132 2016-07-13
1831544600 Drew Goerke Occupational Therapist 50 N Medical Drive, Som Room #1r73, Salt Lake City, UT 84132 2016-04-29
1891179024 Bong Jik Kim Student in an Organized Health Care Education/Training Program 50 North Medical Drive 3c120, Otolaryngology Administration Office, Salt Lake City, UT 84132 2015-07-17
1043699101 Chris Anderson Physician Assistant 30 North 1900 East #3c344, Salt Lake City, UT 84132 2015-05-22
1689061822 Ryan Clark Thoracic Surgery (Cardiothoracic Vascular Surgery) 30 N 1900 E Som 3c127, Salt Lake City, UT 84132 2015-04-24
1649666264 Kevin Conrad Anesthesiology 30 N 1900 E Room 3c444, Salt Lake City, UT 84132 2015-04-09
Find all providers in zip 84132

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609421403 Monika Fleckenstein Ophthalmology 65 Mario Capecchi Drive, John A. Moran Eye Center, Salt Lake City, UT 84132 2019-08-08
1568815082 Anastasia Neufeld Ophthalmology 65 Mario Capecchi Drive, Salt Lake City, UT 84132 2016-07-20
1699126680 Judd Michael Cahoon Ophthalmology 3281 E Santa Rosa Ave, Salt Lake City, UT 84109-4128 2016-06-30
1356706469 John Christian Nelson Ophthalmology 3449 South 4155 West, Salt Lake City, UT 84109-2468 2015-12-17
1558660308 Brian E Zaugg Ophthalmology John A Moran Eye Center 65 Mario Capecchi Dr, Salt Lake City, UT 84132-0001 2011-03-18
1770880346 Gary Ricks Jones Ophthalmology 1924 S View St, Salt Lake City, UT 84105-3712 2011-02-17
1689991747 Kian Eftekhari Ophthalmology Eyelid Center of Utah, 22 S 900 E, Salt Lake City, UT 84102 2010-04-29
1760621940 Bryan Paul Hemard Sr. Ophthalmology 6308 Canyon Cove Dr, Salt Lake City, UT 84121-6336 2009-02-12
1689833436 Surgical Care Associates Ophthalmology 1025 East 3300 South, Suite B, Salt Lake City, UT 84106-4389 2008-06-06
1568647436 Robert Michael Duffin Ophthalmology Moran Eye Center, 65 Medical Dr., Salt Lake City, UT 84132-0001 2008-01-09
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84132

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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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