STAT-MD II (NPI# 1881235992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881235992 |
| Entity Type | Organization |
| Organization Name | STAT-MD II |
| Practice Address |
7724 S 5600 W Ste 102 West Jordan UT 84081-5415 |
| Practice Telephone | 8014328480 |
| Practice Fax Number | 4356040160 |
| Mailing Telephone | 8014328480 |
| Mailing Fax Number | 4356040160 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | BRYAN KNEPPER (OWNER) |
| Authorized Official Telephone | 4356040160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
7724 S 5600 W STE 102 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84081-5415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649790080 | Jupiter Medical II LLC | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659731453 | Tiffany Mcgilvery | Social Worker | 6172 W 7000 S, West Jordan, UT 84081 | 2016-03-07 |
| 1356767388 | Ken C Mccauley | Counselor | 5454 Balsa Avenue, West Jordan, UT 84081 | 2014-03-14 |
| 1780007641 | Deborah Harris | Social Worker | 8151 S 5940 W, West Jordan, UT 84081 | 2014-01-29 |
| 1396081303 | Tamra Monique Parko | Social Worker | 5134 Ticklegrass Rd, West Jordan, UT 84081 | 2012-12-19 |
| 1144579616 | Intermountain Healthcare | General Acute Care Hospital | 5572 West Slate Canyon Drive, Apt B-101, West Jordan, UT 84081 | 2012-08-30 |
| 1366763377 | Michael Jones | Behavioral Analyst | 5500 S Bagley Rd, Bldg J, West Jordan, UT 84081 | 2010-06-14 |
| 1073018545 | Kendra Johnson | Technician, Pathology | 3809 W 6200 S, Kearns, UT 84081 | 2018-03-27 |
| 1881080240 | Jeffrey Arbez Zinger | Counselor | 8235 S Spratling Dr, West Jordan, UT 84081-1733 | 2015-04-13 |
| 1356723928 | Ashley Dean Kammerman | Occupational Therapy Assistant | 5426 W Harvestmill Dr, West Jordan, UT 84081-1795 | 2015-06-19 |
| 1699231142 | Deborah Michelle Kiesewetter | Behavior Technician | 8306 S Water Oak Dr, West Jordan, UT 84081-1829 | 2019-02-20 |
| Find all providers in zip 84081 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649790080 | Jupiter Medical II LLC | Clinic/Center | 7724 S 5600 W Ste 102, West Jordan, UT 84081-5415 | 2017-06-27 |
| 1730507161 | Direct Care Medical Home Clinic LLC | Clinic/Center | 7611 S Jordan Landing Blvd Ste 200, West Jordan, UT 84084-5612 | 2014-04-02 |
| 1386135762 | Sunrise Family Practice LLC | Clinic/Center | 8785 S Jordan Valley Way # 100, West Jordan, UT 84088-9772 | 2018-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1942821947 | First Choice Healthcare, LLC | Clinic/Center | 250 N American Way, Brigham City, UT 84302-2074 | 2020-04-30 |
| 1912526294 | Boyer Medical Solutions | Clinic/Center | 2322 N 2080 W, Lehi, UT 84043-4897 | 2020-04-16 |
| 1164066015 | Sterling Provider Group | Clinic/Center | 700 S Highway 91, Richmond, UT 84333-1209 | 2019-11-04 |
| 1760033443 | Careatc | Clinic/Center | 669 W 200 S, Salt Lake City, UT 84101-1014 | 2019-09-24 |
| 1174006605 | Bristol Palliative Care Services, L.L.C. | Clinic/Center | 3216 S Highland Dr Ste 100, Salt Lake City, UT 84106-4196 | 2018-09-11 |
| 1932640752 | Indiemed LLC | Clinic/Center | 25 N 2000 W Ste 3, Hurricane, UT 84737-4115 | 2017-03-13 |
| 1649719063 | Sara Arrington, A.p.r.n., P.l.l.c | Clinic/Center | 3110 W 300 N Ste A, West Point, UT 84015-7481 | 2017-02-17 |
| 1346789872 | Integrated Medical Services | Clinic/Center | 630 S 400 E, 101, St George, UT 84770-3765 | 2017-02-16 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84081 |
Please comment or provide details below to improve the information on STAT-MD II.
| 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.