DR. DOUGLAS C DILLON (NPI# 1912075771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912075771 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS C DILLON |
| Credential | MD |
| Practice Address |
5121 South Cottonwood Street Murry UT 84157-0000 |
| Mailing Address |
5121 S Cottonwood St Salt Lake City UT 84107-5701 |
| Practice Telephone | 8012692500 |
| Practice Fax Number | 8012692690 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 6515217-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | EC-05-085 | ME | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215190350 | Douglas Everett Dillon | Nurse Practitioner | 18th Medical Group, Unit 5142, Apo, Ap, CA 96368 | 2008-07-09 |
| 1467438879 | Douglas Dillon | Anesthesiology | 455 Sherman, Suite 510, Denver, CO 80203-4405 | 2005-12-16 |
| Street Address |
5121 SOUTH COTTONWOOD STREET |
| City | MURRY |
| State | UT |
| Zip Code | 84157-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1144415282 | Corwin Q Edwards | Internal Medicine | 5121 S Cottonwood Dr, Salt Lake City, UT 84157 | 2007-09-12 |
| 1891819843 | Warren Lewis Butterfield | Orthopaedic Surgery | 5169 South Cottonwood Street, Suite 430, Murray, UT 84157 | 2007-03-16 |
| 1033211776 | Ida Ripley | Advanced Practice Midwife | 5161 S Cottonwood St, Ste 130, Murray, UT 84157 | 2006-09-02 |
| 1245262229 | Elizabeth Demos Nicholson | Emergency Medicine | 5121 S. Cottonwood Street, Salt Lake City, UT 84157 | 2006-07-07 |
| 1154313690 | Steven M Scott | Orthopaedic Surgery | 5169 S Cottonwood St, Ste 430, Slc, UT 84157 | 2005-08-19 |
| 1619341278 | James Bokinskie II | Physical Therapist | 5121 Cottonwood Street, Murray, UT 84157 | 2015-11-19 |
| 1942501168 | John Miller | Physical Therapy Assistant | 5121 Cottonwood St, Murray, UT 84157 | 2010-11-04 |
| 1902032295 | Eliza Boyer Johnson | Emergency Medicine | 5121 S. Cottonwood St., Intermountain Medical Center, Murray, UT 84157 | 2009-06-01 |
| Find all providers in zip 84157 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1003287970 | Marlene Hyndman | Emergency Medicine | 3024 S 600 W, Bountiful, UT 84010-8204 | 2015-10-16 |
| 1912384637 | Kyle Earl Nielsen | Emergency Medicine | 2292 N 1430 E, Provo, UT 84604 | 2015-05-01 |
| 1699152538 | Jinghui Li | Emergency Medicine | 2675 W Taylorsville Blvd, Taylorsville, UT 84129-2208 | 2015-04-29 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
| Find all providers with the same taxonomy | ||||
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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.