MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY, PLLC (NPI# 1871976985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871976985 |
| Entity Type | Organization |
| Organization Name | MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY, PLLC |
| Practice Address |
880 E 9400 S Ste 112 Sandy UT 84094-4134 |
| Practice Telephone | 8019389627 |
| Practice Fax Number | 8016666915 |
| Mailing Telephone | 8019389627 |
| Mailing Fax Number | 8016666915 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | HANSEL RAYNER (OWNER) |
| Authorized Official Telephone | 8019389627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
6814504-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1356319842 | 05 | |
| UT | INDIVIDUAL NPI # | 1356319842 | 01 |
| Street Address |
880 E 9400 S STE 112 |
| City | SANDY |
| State | UT |
| Zip Code | 84094-4134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
| 1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
| 1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
| 1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
| 1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
| 1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
| 1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
| 1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
| 1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
| 1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
| Find all providers in zip 84094 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255636981 | Frank Jay Keefer | Obstetrics & Gynecology | 3324 Seven Springs Dr, Sandy, UT 84092-4560 | 2011-01-11 |
| 1598875973 | Gregory C Tanner | Obstetrics & Gynecology | 9600 S 1300 E, Ste 305, Sandy, UT 84094-3766 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215212899 | Michael Patrick Ranahan | Obstetrics & Gynecology | 1676 S Agate Cir, Saint George, UT 84790-6109 | 2011-10-14 |
| 1073776787 | John Clark Nelson | Obstetrics & Gynecology | 330 Paradiso Ln, Centerville, UT 84014-2826 | 2008-07-03 |
| 1295908374 | Howard Cannon Sharp | Obstetrics & Gynecology | 2922 Saint Marys Way, Salt Lake City, UT 84108-2044 | 2008-04-09 |
| 1396937140 | Anthon E Anderson | Obstetrics & Gynecology | 5770 So 250 E Suite G-50, Murray, UT 84107 | 2007-08-15 |
| 1518166123 | Karen Boheen PC | Obstetrics & Gynecology | 2132 N 1700 W Ste 300, Layton, UT 84041-7077 | 2007-07-13 |
| 1013920677 | Patricia Bearnson | Obstetrics & Gynecology | 4465 S 900 E Ste 275, Salt Lake City, UT 84124-2469 | 2006-08-14 |
| 1033184775 | Sean F Lynn | Obstetrics & Gynecology | 965 E 700 S Ste 105, St George, UT 84790-4084 | 2006-02-17 |
| 1093312183 | Cherysh Hubbard Stock | Obstetrics & Gynecology | 5121 S Cottonwood St, Murray, UT 84107-5701 | 2020-10-02 |
| 1568980688 | Snow Canyon Womens Center Pllc | Obstetrics & Gynecology | 965 E 700 S Ste 105, St George, UT 84790-4084 | 2017-09-08 |
| 1699010769 | Joanne Sumpio Hinson Md Pllc | Obstetrics & Gynecology | 24 S 1100 E, Ste 210, Salt Lake City, UT 84102-1500 | 2012-11-30 |
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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.