DR. LELAND RUSSEL CHICK (NPI# 1912023383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912023383 |
| Entity Type | Individual |
| Full Name | DR. LELAND RUSSEL CHICK |
| Credential | M.D. |
| Practice Address |
1220 E 3900 S Ste 4i Salt Lake City UT 84124-1383 |
| Mailing Address |
24 S 1100 E Ste 201 Salt Lake City UT 84102-1500 |
| Practice Telephone | 8013221188 |
| Practice Fax Number | 8013631847 |
| Mailing Telephone | (801) 322-1188 |
| Mailing Fax Number | 8013631847 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
89-180960-1205 | UT | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
89-180960-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
1220 E 3900 S STE 4I |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487273298 | Shannon Penny Price | Social Worker | 4465 Maybeck Place, Condo C, Millcreek, UT 84124 | 2020-04-11 |
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1366923252 | Melanie Stumpf | Counselor | 1141 E 3900, Suite A170, Salt Lake City, UT 84124 | 2018-08-28 |
| 1376033993 | Michelle Flowers | Speech-Language Pathologist | 2120 East 3900 South, Ste 200, Holladay, UT 84124 | 2018-05-18 |
| 1740797257 | Lissa Anne Hutchings | Nurse Practitioner | 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124 | 2018-01-05 |
| 1316465693 | Randy Gines | Counselor | 4460 S Highland Drive # 230, Murray, UT 84124 | 2017-09-06 |
| 1417470717 | Joshua Chandler Spencer | Counselor | 4460 South Highland Dr., 230, Murray, UT 84124 | 2017-07-19 |
| 1659891554 | Marcus Whitney | Counselor | 4460 S Highland Dr. # 230, Murray, UT 84124 | 2017-06-21 |
| 1518496884 | Courtney Nilson | Counselor | 4460 S. Highland Dr. #230, Murray, UT 84124 | 2017-06-08 |
| 1841687126 | Intrafilrx | Preferred Provider Organization | 3920 S 1100 E Ste 210, Salt Lake City, UT 84124 | 2015-04-23 |
| Find all providers in zip 84124 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508878372 | Jayant Prasad Agarwal | Surgery | Division of Plastic Surgery Administrative Office, 30 North 1900 East 3b205, Salt Lake City, UT 84132-0001 | 2006-08-12 |
| 1346633203 | University of Utah Dental Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2015-03-16 |
| 1275937088 | University of Utah Adult Services | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2014-10-22 |
| 1073729943 | Lauren Opal Florence | Surgery | 1250 East 3900 South, Suite #301, Salt Lake City, UT 84124-1362 | 2007-05-15 |
| 1083737738 | Christopher John Pannucci | Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1437216306 | Kimball M Crofts | Surgery | 385 W 600 N, Lindon, UT 84042-1330 | 2007-01-02 |
| 1720005317 | Jason T Koo | Surgery | 13249 Cascade Glen Dr, Draper, UT 84020-7146 | 2006-07-17 |
| 1295705697 | Todd B Engen | Surgery | 1735 N State St, Provo, UT 84604-1010 | 2006-01-26 |
| 1538151063 | Allisyn Okawa | Surgery | 4700 Harrison Blvd, Ogden, UT 84403-4303 | 2005-08-19 |
| 1538572169 | Vincent Surgical Arts, LLC | Surgery | 6710 S Blackstone Rd, Suite 201, Cottonwood Heights, UT 84121-6072 | 2014-06-11 |
| 1689906976 | Premier Plastic Surgery Group of Utah | Surgery | 11762 S State St Ste 220, Draper, UT 84020-7156 | 2010-02-11 |
| 1851506786 | Seth A Riddle, M.d. P.C. | Surgery | 1055 N 300 W Ste 401, Provo, UT 84604-3306 | 2007-05-14 |
| 1134346976 | Central Utah Clinic, P.C. | Surgery | 1184 E 80 N, American Fork, UT 84003-2906 | 2007-04-20 |
| 1821118134 | David N. Clayton | Surgery | 9450 S 1300 E, Suite 220, Sandy, UT 84094-5555 | 2007-03-30 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
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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.