MARY D TIPTON (NPI# 1922065598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922065598 |
| Entity Type | Individual |
| Full Name | MARY D TIPTON |
| Credential | MD |
| Practice Address |
3556 W 9800 S #101 South Jordan UT 84095-3211 |
| Practice Telephone | 8013529500 |
| Practice Fax Number | 8013529502 |
| Mailing Telephone | 8013529500 |
| Mailing Fax Number | 8013529502 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5934303-1205 | UT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306234067 | Mary Tipton | Technician/Technologist | 103 W 7th Ave, Stillwater, OK 74074-4032 | 2015-01-05 |
| 1124302153 | Mary Robin Tipton | Case Manager/Care Coordinator | 719 Camarague Pl, Apartment 101, Lake Mary, FL 32746-5170 | 2011-10-10 |
| 1962773754 | Mary Emalie Tipton | Counselor | 1509 Paseo Del Pueblo Sur, Taos, NM 87571-5922 | 2012-01-25 |
| Street Address |
3556 W 9800 S #101 |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306829569 | Jeffrey L Broadhead | Optometrist | 3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 | 2005-11-22 |
| 1104117381 | Michelle Elizabeth Murray | Internal Medicine | 3556 W 9800 S, Suite 101, South Jordan, UT 84095-3211 | 2011-04-22 |
| 1265606735 | Curtis K Andrews | Internal Medicine | 3556 W 9800 S, Suite 101, South Jordan, UT 84095-3211 | 2008-04-16 |
| 1922282599 | Progressive Eye Care, LLC | Optometrist | 3556 W 9800 S, Suite 104, South Jordan, UT 84095-3211 | 2007-12-19 |
| 1033329669 | Timothy B. Elison | Dentist | 3556 W 9800 S, Suite 103, South Jordan, UT 84095-3211 | 2007-05-23 |
| 1245440478 | Kevin Cottle | Nurse Practitioner | 3556 W 9800 S, Suite 101, South Jordan, UT 84095-3211 | 2007-05-23 |
| 1811057995 | Orthodontic Center | Dentist | 3556 W 9800 S, Suite 103, South Jordan, UT 84095 | 2006-12-11 |
| 1316970924 | Copperview Medical Center, LLC | Family Medicine | 3556 W 9800 S, 101, South Jordan, UT 84095-3211 | 2006-07-08 |
| 1669400552 | Sheri L Vlam | Nurse Practitioner | 3556 W 9800 S, # 101, South Jordan, UT 84095-3211 | 2006-06-29 |
| 1821054842 | Martin A Hollingsworth | Internal Medicine | 3556 W 9800 S, #101, South Jordan, UT 84095-3211 | 2006-04-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770688335 | Brian Pierce Good | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2006-09-14 |
| 1629489596 | Mitchell Alan Peterson | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2014-05-14 |
| 1093132110 | Lindsi Mccoard Roundy | Pediatrics | 1268 W South Jordan Pkwy Ste 201, South Jordan, UT 84095-4653 | 2014-03-26 |
| 1508158361 | Kody R Crowell | Pediatrics | 1268 W South Jordan Pkwy Ste 201, #201, South Jordan, UT 84095-4653 | 2011-05-11 |
| 1124318225 | Nathan Bexfield | Pediatrics | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2011-04-11 |
| 1366767147 | Kathy Stretch Garcia | Pediatrics | 3556 W 9800 S Ste 101, South Jordan, UT 84095 | 2010-04-05 |
| 1073786711 | Sarah Connors Petersen | Pediatrics | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2008-04-02 |
| 1538111604 | Patience Owan | Pediatrics | 5126 W Daybreak Pkwy, South Jordan, UT 84095-5994 | 2006-05-17 |
| 1851357230 | Paul S Lei | Pediatrics | 3556 W 9800 S, #101, South Jordan, UT 84095-3211 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448057 | Puzzle Pediatrics LLC | Pediatrics | 230 N Hospital Dr Ste 3, Price, UT 84501-4222 | 2020-08-21 |
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1184184632 | Abbey Jo Bentley | Pediatrics | 1248 E 90 N Ste 202, American Fork, UT 84003-2959 | 2019-03-21 |
| 1114487717 | Heber Valley Medical LLC | Pediatrics | 380 E 1500 S Ste 201, Heber City, UT 84032-3942 | 2019-03-21 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1124548805 | Joshua Brent Maxwell | Pediatrics | 8822 S Redwood Rd Ste C211, West Jordan, UT 84088-9340 | 2017-06-22 |
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1134672074 | Robert Jarrett | Pediatrics | 12669 S Toscana Way, Herriman, UT 84096-4866 | 2016-07-27 |
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| City | SOUTH JORDAN |
| Zip Code | 84095 |
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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.