JILL E CLARK MD PC (NPI# 1922339373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922339373 |
| Entity Type | Organization |
| Organization Name | JILL E CLARK MD PC |
| Practice Address |
1220 E 3900 S Ste 4i Salt Lake City UT 84124-1377 |
| Practice Telephone | 8012631621 |
| Practice Fax Number | 8012631647 |
| Mailing Telephone | 8012631621 |
| Mailing Fax Number | 8012631647 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Authorized Official Name | JILL E CLARK (PRESIDENT) |
| Authorized Official Telephone | 8012631621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 73799221205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | OWNERS DOB | 10281976 | 01 |
| Street Address |
1220 E 3900 S STE 4I |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84124-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689671737 | Chris Lindsey | Physician Assistant | 1220 E 3900 S, # 4e, Salt Lake City, UT 84124-1327 | 2005-07-05 |
| 1275926149 | Caleb Jackson | Nurse Practitioner | 1220 E 3900 S, Ste 4e, Salt Lake City, UT 84124-1377 | 2015-03-16 |
| 1013317361 | Jonathan Middlemiss | Physician Assistant | 1220 E 3900 S, Ste 4e, Salt Lake City, UT 84124-1377 | 2014-08-23 |
| 1568700177 | Scott A Leckman Md Facs PC | Surgery | 1220 E 3900 S, Suite 3g, Salt Lake City, UT 84124-1377 | 2013-01-17 |
| 1578859831 | Mountainstar Medical Group Neurosurgery - St Marks LLC | Neurological Surgery | 1220 E 3900 S, Ste. 4-e, Salt Lake City, UT 84124-1377 | 2011-06-24 |
| 1487976866 | Utah Cancer Institute, LLC | Surgery | 1220 E 3900 S, Suite 4f, Salt Lake City, UT 84124-1377 | 2010-02-25 |
| 1306016712 | Richard Schwartz Md PC | Neurological Surgery | 1220 E 3900 S, Suite 4e, Salt Lake City, UT 84124-1327 | 2008-03-03 |
| 1619190899 | Mt. Olympus Obstetrics and Gynecology | Obstetrics & Gynecology | 1220 E 3900 S, Suite 3e, Salt Lake City, UT 84124-1327 | 2007-04-10 |
| 1952450074 | Kurt Christensen Crna PC | Nurse Anesthetist, Certified Registered | 1220 E 3900 S, Salt Lake City, UT 84124-1327 | 2007-01-09 |
| 1538226295 | Richard G Watts Anesthesia Inc | Nurse Anesthetist, Certified Registered | 1220 E 3900 S, 4g, Salt Lake City, UT 84124-1327 | 2007-01-02 |
| Find all providers in the same location | ||||
| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922654367 | Joseph C Melvin Md PC | Colon & Rectal Surgery | 1250 East 3900 South Ste 320, Salt Lake City, UT 84124 | 2019-08-12 |
| 1093037376 | J Preston Hughes A Professional Corporation | Colon & Rectal Surgery | 1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350 | 2010-02-27 |
| 1477647246 | Peter William Bossart | Colon & Rectal Surgery | 324 10th Ave Ste 280, Salt Lake City, UT 84103-2875 | 2006-10-03 |
| 1891151668 | Abby N Crume Do PC | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2016-01-11 |
| 1942640420 | Joseph Conor Melvin | Colon & Rectal Surgery | 1250 E 3900 S Ste 320, Salt Lake City, UT 84124-1350 | 2013-06-28 |
| 1538396957 | Joe Eyring Md PC | Colon & Rectal Surgery | 348 E 4500 S, Suite 200, Salt Lake City, UT 84107-3906 | 2009-06-11 |
| 1285868059 | Abby N Crume | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2009-05-08 |
| 1114101235 | William Joseph Peche, Jr. M.d. P.l.l.c. | Colon & Rectal Surgery | 324 Tenth Ave, Suite 280, Salt Lake City, UT 84103-2853 | 2007-12-26 |
| 1295922052 | Jill Elisabeth Clark | Colon & Rectal Surgery | 1250 E 3900 S, Ste 320, Salt Lake City, UT 84124-1348 | 2007-09-26 |
| 1578766820 | William Joseph Peche Jr. | Colon & Rectal Surgery | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2007-06-06 |
| Find all providers in SALT LAKE CITY | ||||
| 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.