ANTHONY R. WALLIN (NPI# 1881797843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881797843 |
| Entity Type | Individual |
| Full Name | ANTHONY R. WALLIN |
| Credential | MD |
| Practice Address |
1225 Fort Union Blvd Suite 200 Midvale UT 84047-1889 |
| Practice Telephone | 8012334400 |
| Practice Fax Number | 8012334410 |
| Mailing Telephone | 8012334400 |
| Mailing Fax Number | 8012334410 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 3105081205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1225 FORT UNION BLVD SUITE 200 |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659319531 | Layne Lloyd | Family Medicine | 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 | 2006-06-03 |
| 1326277195 | Brenda R Zigich | Social Worker | 1225 Fort Union Blvd, 215, Midvale, UT 84047-1889 | 2009-07-14 |
| 1437272820 | Constance King | Physician Assistant | 1225 Fort Union Blvd, 200, Midvale, UT 84047-1889 | 2007-04-09 |
| 1891810867 | Ihc Health Services Inc | Clinic/Center | 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047-1889 | 2007-03-20 |
| 1790809309 | Florence C Dalcanto | Pediatrics | 1225 Fort Union Blvd, Ste 200, Midvale, UT 84047-1889 | 2007-03-19 |
| 1053457085 | Lynn Marie Mcmillan | Nurse Practitioner | 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 | 2007-01-29 |
| 1295842094 | Annette M Ephroni | Nurse Practitioner | 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047-1889 | 2006-08-25 |
| 1104836469 | Linda L. Decker | Nurse Practitioner | 1225 Fort Union Blvd, Suite 215, Midvale, UT 84047-1889 | 2006-08-09 |
| 1093725277 | Grace Kim Harris | Family Medicine | 1225 Fort Union Blvd, Suite 200, Midvale, UT 84047-1889 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407269459 | Mountain View Diabetes Care | Internal Medicine | 189 E Fort Union Blvd Ste 103, Midvale, UT 84047-4800 | 2014-06-07 |
| 1356363824 | Susan Ann Terry | Internal Medicine | 7495 S State St, Midvale, UT 84047-2013 | 2006-07-24 |
| 1417377250 | Meagan Mcclellan | Internal Medicine | 7259 S Bingham Junction Blvd, Midvale, UT 84047-4860 | 2014-04-20 |
| 1134315872 | Philip Nathanael Isenberg | Internal Medicine | 7495 S State St, Midvale, UT 84047-2013 | 2007-09-17 |
| 1386719821 | Mehrnoosh Shakeri | Internal Medicine | 7495 S State St, Midvale, UT 84047-2013 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698077 | Gayle Marie Mortensen | Internal Medicine | 1619 Hillsboro Dr, Layton, UT 84040-8250 | 2020-10-27 |
| 1992310825 | Novellus Integrative Medicine, LLC | Internal Medicine | 3397 N 1200 E Ste 108, Lehi, UT 84043-3262 | 2020-09-08 |
| 1083226369 | Advanced Wound Care | Internal Medicine | 871 S 500 W, Payson, UT 84651-3201 | 2020-08-19 |
| 1194343095 | Ihc Health Services Inc | Internal Medicine | 5217 S State St Ste 250, Murray, UT 84107-4943 | 2020-07-08 |
| 1639797509 | Ihc Health Services Inc | Internal Medicine | 4387 Harrison Blvd Ste C1, Ogden, UT 84403-3148 | 2020-07-08 |
| 1821558024 | Millcreek Medical Pllc | Internal Medicine | 5526 S Van Winkle Expy, Murray, UT 84117-7324 | 2019-03-22 |
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1780193763 | Marcia Marie Mitchell | Internal Medicine | 4 Longwood Lane, Sandy, UT 84092 | 2017-09-22 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ANTHONY R. WALLIN.
| 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.