JILL E CLARK MD PC


Address: 1220 E 3900 S, Ste 4i, Salt Lake City, UT 84124-1377
Phone: 8012631621

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 73799221205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT OWNERS DOB 10281976 01

Office Location

Street Address 1220 E 3900 S
STE 4I
City SALT LAKE CITY
State UT
Zip Code 84124-1377

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SALT LAKE CITY
Zip Code 84124

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Dataset Information

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.

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