UCFA PHYSICIANS NETWORK GROUP OF UT (NPI# 1902311558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902311558 |
| Entity Type | Organization |
| Organization Name | UCFA PHYSICIANS NETWORK GROUP OF UT |
| Other Organization Name | PNG UTAH |
| Practice Address |
2605 E 3300 S Salt Lake City UT 84109-2728 |
| Mailing Address |
223 Hiawassee Ave Knoxville TN 37917-4933 |
| Practice Telephone | 8653073441 |
| Practice Fax Number | 8654092526 |
| Mailing Telephone | 8652992432 |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |
| Authorized Official Name | MR. THEO S STEPHENS (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 8652992432 |
| Authorized Official Credential | CMA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PNG Utah | Doing Business As Name - Organization |
| Street Address |
2605 E 3300 S |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-2728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770615684 | Marcia A. Scoville | Midwife | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2007-03-09 |
| 1699335521 | Lotus Aesthetics & Wellness | Family Medicine | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2019-06-13 |
| 1023521119 | All for Women Healthcare, Inc | Clinic/Center | 2605 E 3300 S, Salt Lake City, UT 84109-2728 | 2017-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| 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 |
|---|---|---|---|---|
| 1215424759 | Jacob Klewer | Internal Medicine | 50 N Medical Dr University Hospital, Salt Lake City, UT 84132-0001 | 2018-04-19 |
| 1710412531 | Melissa Anne Pender | Internal Medicine | University of Utah Health, 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2017-04-30 |
| 1770018277 | Karma-jaya Elliott | Internal Medicine | The University of Utah 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2017-04-22 |
| 1982050126 | Lloyd Petty | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-05-06 |
| 1164884391 | Josephine Wright | Internal Medicine | University of Utah 30 North 1900 East 4c104, Salt Lake City, UT 84132-0001 | 2016-03-26 |
| 1750769220 | Diagnopy, LLC | Internal Medicine | 4285 S Highland Dr, Salt Lake City, UT 84124-2603 | 2015-05-15 |
| 1053798553 | Kenneth Jay Nielson | Internal Medicine | 1794 S Wasatch Dr, Salt Lake City, UT 84108-3366 | 2015-05-04 |
| 1255726469 | Whitney Kay Haseman | Internal Medicine | The University of Utah Som Dept of Medicine, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417342601 | Jennifer Kaye Shepard | Internal Medicine | The University of Utah School of Medicine Dept Ofmed, 30 N 1900 E, Room 4c104, Salt Lake City, UT 84132-0001 | 2015-04-03 |
| 1417340704 | Nilma A Malik | Internal Medicine | 15 N 2030 E, Division of Endocrinology, University of Utah, Salt Lake City, UT 84112-5339 | 2015-03-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
Please comment or provide details below to improve the information on UCFA PHYSICIANS NETWORK GROUP OF UT.
| 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.