IN HOME PROVIDER (NPI# 1871131623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871131623 |
| Entity Type | Organization |
| Organization Name | IN HOME PROVIDER |
| Practice Address |
2432 Concord Ave Santa Clara UT 84765-5621 |
| Mailing Address |
387 W 100 S Heber City UT 84032-1835 |
| Practice Telephone | 4356597352 |
| Mailing Telephone | 4356713285 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | SHANE WHITTIER (COO) |
| Authorized Official Telephone | 4357098786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2432 CONCORD AVE |
| City | SANTA CLARA |
| State | UT |
| Zip Code | 84765-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275988305 | Caitlin Rose Tharaldson | Social Worker | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-04-26 |
| 1881069706 | Harmon City Inc | Pharmacy | 3520 Pioneer Parkway, Santa Clara, UT 84765 | 2015-12-03 |
| 1225239171 | Jonathan J Kolon | Dentist | 3176 Santa Clara Drive, Santa Clara, UT 84765 | 2007-05-29 |
| 1225139017 | Elizabeth Ann Johnson | Psychologist | 3090 Windmill Circle, Santa Clara, UT 84765 | 2006-09-26 |
| 1427556018 | Brand Bonsall | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2018-01-29 |
| 1104278076 | Michael Scott Mein | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-07-05 |
| 1982050530 | Mary Elizabeth Zaunbrecher | Counselor | 2711 Santa Clara Drive, Santa Clara, UT 84765 | 2016-05-12 |
| 1073134896 | Connor James Finklea | Student in an Organized Health Care Education/Training Program | 2503 Stefanie Ln, Santa Clara, UT 84765-1217 | 2020-05-04 |
| 1316293368 | Eric Dennis Drake | Optometrist | 1724 Snow Canyon Dr, Santa Clara, UT 84765-5138 | 2012-07-27 |
| 1730706649 | Matthew Fehrenbacker | Student in an Organized Health Care Education/Training Program | 3398 Windmill Dr, Santa Clara, UT 84765-5193 | 2020-06-26 |
| Find all providers in zip 84765 | ||||
| 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 |
|---|---|---|---|---|
| 1528310570 | Lawrence Mason Shih | Family Medicine | 4006 Fitzpatrick Way, Santa Clara, CA 95054-4186 | 2012-10-15 |
| 1497018618 | Reija Matheson Rawle | Family Medicine | 2518 Mission College Blvd Ste 101, Santa Clara, CA 95054-1239 | 2012-06-21 |
| 1124349204 | Sfo Medical Corp | Family Medicine | 1387 Loyola Dr, Santa Clara, CA 95051-3916 | 2010-06-12 |
| 1851559405 | Chitra Vijayaraghavan | Family Medicine | 710 Lawrence Expy Dept 460, Adult and Family Medicine, Santa Clara, CA 95051-5173 | 2008-05-30 |
| 1699822346 | David Anthony Anzaldua | Family Medicine | 4949 Stevens Creek Blvd, Santa Clara, CA 95051-6661 | 2007-01-04 |
| 1295812816 | Roger W Washington | Family Medicine | 885 Scott Blvd Ste 4, Santa Clara, CA 95050-5255 | 2006-11-01 |
| 1316050016 | Lynn Semersky | Family Medicine | 2316 Running Water Ct, Santa Clara, CA 95054-1346 | 2006-08-16 |
| 1942212758 | Dhanu Kapoor | Family Medicine | 1150 Scott Blvd Ste B1, Santa Clara, CA 95050-4547 | 2006-08-12 |
| 1700829512 | Tripty Manoj Gandhi | Family Medicine | 1080 Scott Blvd, Suite 5, Santa Clara, CA 95050-5237 | 2006-06-13 |
| 1871532291 | Good Health Medical Center, Inc. | Family Medicine | 3466 El Camino Real, Santa Clara, CA 95051-2809 | 2006-06-05 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 84765 |
Please comment or provide details below to improve the information on IN HOME PROVIDER.
| 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.