BENJAMIN RICH HUMPHERYS (NPI# 1891728036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891728036 |
| Entity Type | Individual |
| Full Name | BENJAMIN RICH HUMPHERYS |
| Credential | D.O. |
| Practice Address |
2121 N 1700 W Layton UT 84041-8803 |
| Practice Telephone | 8017734840 |
| Practice Fax Number | 8015258702 |
| Mailing Telephone | 8017734840 |
| Mailing Fax Number | 8015258702 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 4452 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
6565196-1204 | UT | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E 3900 S Ste 30, Salt Lake City, UT 841241354 | 8012687725 |
| Street Address |
2121 N 1700 W |
| City | LAYTON |
| State | UT |
| Zip Code | 84041-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003808122 | Khaldoun M Al-rayess | Internal Medicine | 2121 N 1700 W, Layton, UT 84041-8803 | 2005-08-16 |
| 1306443940 | Jodi Mansfield | Counselor | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-10-07 |
| 1639780745 | Darren Strong | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2020-08-12 |
| 1710545603 | Ann-kristin Swahn | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-06-05 |
| 1386209641 | Rachael Gardner | Dietitian, Registered | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-05-02 |
| 1346704418 | Cindy Johnston | Registered Nurse | 2121 N 1700 W, Layton, UT 84041-8803 | 2019-01-23 |
| 1003388265 | Aaron Joseph Reich | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-27 |
| 1588136485 | Eleanore Debbie Weese | Nurse Practitioner | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-12-18 |
| 1124593942 | Eric Marvin Carl Monfrooy | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-08 |
| 1346725678 | Marcus Chavez | Physician Assistant | 2121 N 1700 W, Layton, UT 84041-8803 | 2018-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499183 | Grab Healthcare, LLC | Clinic/Center | 245 E 2150 N, Suite C, Layton, UT 84041 | 2020-08-26 |
| 1154961399 | Victoria Leeann Taylor | Massage Therapist | 716 Antelope Dr, Layton, UT 84041 | 2020-01-15 |
| 1184181505 | Brian Taylor Woodbury | Occupational Therapist | 471 Heritage Park Blvd. Ste #5, Layton, UT 84041 | 2019-02-21 |
| 1740756816 | Jacob C Juarez | Physician Assistant | 2084 N. 1700 W., Suite A, Layton, UT 84041 | 2018-10-16 |
| 1134637945 | Jodi Lynn Siri | Counselor | 365 W 1550 N Ste F, Layton, UT 84041 | 2018-01-15 |
| 1083128029 | Utah Cvs Pharmacy LLC | Pharmacy | 50 South Fort Lane, Layton, UT 84041 | 2017-11-29 |
| 1376057315 | Utah Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2000 W & W 1700 S Nec, Layton, UT 84041 | 2017-11-29 |
| 1912411992 | Live Strong House LLC | Counselor | 377 N. Marshall Way, Suite 1b, Layton, UT 84041 | 2017-11-28 |
| 1003326505 | Kenneth L Ernstrom | Pharmacist | 2065 N Robins Drive, Layton, UT 84041 | 2017-10-10 |
| 1356868319 | Utah Home Health and Hospice LLC | Family Medicine | 920 W Heritage Park Blvd Suite 120, Layton, UT 84041 | 2017-08-29 |
| Find all providers in zip 84041 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194144329 | Austin Lebron Albright | Physical Medicine & Rehabilitation | 6360 S 3000 E Ste 200, Salt Lake City, UT 84121-6925 | 2014-04-15 |
| 1255691986 | Gregory Lyman Condie | Physical Medicine & Rehabilitation | 3838 S 700 E # 300, Slc, UT 84106-1466 | 2012-05-29 |
| 1104060714 | Comprehensive Medical Management, PC | Physical Medicine & Rehabilitation | 4052 W Pioneer Parkway, Suite 208, West Valley City, UT 84120 | 2009-04-27 |
| 1407026420 | Qamar Khan | Physical Medicine & Rehabilitation | 661 W 10600 S, South Jordan, UT 84095-8524 | 2008-03-05 |
| 1942492079 | Edgar Clinton Goldston Jr. | Physical Medicine & Rehabilitation | 175 North Medical Drive East, Salt Lake City, UT 84132-2303 | 2007-08-13 |
| 1871799528 | Cole W Robinson | Physical Medicine & Rehabilitation | 860 N Main St Ste B, Richfield, UT 84701-1840 | 2007-06-21 |
| 1285673434 | David James Peifer | Physical Medicine & Rehabilitation | George E. Wahlen Veterans Administration Medical C, 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2006-06-05 |
| 1154312197 | Bradley Dryden Root | Physical Medicine & Rehabilitation | 1424 E Foremaster Dr Ste 120, St George, UT 84790-5844 | 2005-10-31 |
| 1225036064 | Brian K Olenslager | Physical Medicine & Rehabilitation | 3585 N University Ave, Ste 150, Provo, UT 84604-6601 | 2005-07-13 |
| 1861490278 | Corey D Anden | Physical Medicine & Rehabilitation | 4403 Harrison Blvd Ste 1875, Ogden, UT 84403-3325 | 2005-07-09 |
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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.