UTAH VALLEY DERMATOLOGY PC (NPI# 1922368927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922368927 |
| Entity Type | Organization |
| Organization Name | UTAH VALLEY DERMATOLOGY PC |
| Practice Address |
680 E Main St Suite 201 Lehi UT 84043-2241 |
| Practice Telephone | 8017688800 |
| Mailing Telephone | 8017688800 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-09-10 |
| Authorized Official Name | DAVID J MYERS (PRESIDENT) |
| Authorized Official Telephone | 8017688800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 24 W Sergeant Court Dr, Saratoga Springs, UT 840455807 | 8018208800 | 8018208200 |
| Street Address |
680 E MAIN ST SUITE 201 |
| City | LEHI |
| State | UT |
| Zip Code | 84043-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073017927 | Amy Hawkins | Registered Nurse | 680 E Main St, Lehi, UT 84043 | 2018-03-23 |
| 1811442890 | Leslie Jane Huggins | Nurse Practitioner | 680 E Main St, Lehi, UT 84043-2241 | 2016-08-19 |
| 1861823635 | Jason Charl Evans | Physician Assistant | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2013-12-04 |
| 1457789752 | Michael D Marion Md PC | Clinic/Center | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2013-10-23 |
| 1073959714 | Wasatch Sports, Spine & Pain Treatment Center Pllc | Pain Medicine | 680 E Main St, 202, Lehi, UT 84043-2241 | 2013-05-21 |
| 1568806545 | Premier Family Medical | Family Medicine | 680 E Main St, Lehi, UT 84043 | 2013-04-22 |
| 1801174164 | Sharilyn Sue Kimball | Nurse Practitioner | 680 E Main St, Premier Family Medical, Lehi, UT 84043-2241 | 2011-08-03 |
| 1588814479 | The Clinic, PC | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-09-26 |
| 1376707323 | Shawn Patrick Mcmanus | Family Medicine | 680 E Main St, Lehi, UT 84043-2241 | 2008-07-17 |
| 1942402433 | Michael Dean Marion | Plastic Surgery | 680 E Main St, Suite 202, Lehi, UT 84043-2241 | 2007-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285264358 | Sojo Dental Lehi | Dentist | 3397 N. 1200 E., Ste #102, Lehi, UT 84043 | 2020-01-17 |
| 1932754165 | Mckenzie Ward | Speech-Language Pathologist | 2750 N Digital Dr Lehi, Lehi, UT 84043 | 2019-08-05 |
| 1780248336 | Kimberly Ann Henne | Nurse Practitioner | 3750 Digital Drive, Lehi, UT 84043 | 2019-04-30 |
| 1962961086 | Corporate Concierge | Optometrist | 4415 N Deer Ridge Trail, Lehi, UT 84043 | 2019-03-18 |
| 1518435692 | Brindie Allan Bishop | Midwife | 1202 W. 800 S., Lehi, UT 84043 | 2018-11-07 |
| 1841766821 | Dry Creek Pediatric Dentistry | Dentist | 3300 N Running Creek Way F101, Lehi, UT 84043 | 2018-10-17 |
| 1437634219 | Banyan Consulting | Assisted Living Facility | 301 N 1200 E, Lehi, UT 84043 | 2018-09-27 |
| 1174005508 | Cameron Ronald John | Psychologist | 3375 W. Mayflower Way, Suite A, Lehi, UT 84043 | 2018-09-01 |
| 1114415130 | Covington Senior Living of Lehi | Assisted Living Facility | 301 N. 1200 E., Lehi, UT 84043 | 2018-04-25 |
| 1669978060 | Mark Alleman | Physical Therapy Assistant | 2750 N Digital Dr., Lehi, UT 84043 | 2018-04-04 |
| Find all providers in zip 84043 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810401 | Smart & Gibbs | Dermatology | 3200 W Clubhouse Dr Ste 100, Lehi, UT 84043-4325 | 2019-09-12 |
| 1750517736 | James B Macdonald | Dermatology | 220 N 1200 E Ste 203, Lehi, UT 84043-5864 | 2009-06-04 |
| 1689757973 | Brad Settle Huber | Dermatology | 220 N 1200 E, Suite 203, Lehi, UT 84043-5862 | 2006-10-23 |
| 1235588658 | Kevin Myers | Dermatology | 680 E Main St Ste 201, Lehi, UT 84043-2251 | 2016-06-07 |
| 1255425252 | David J Myers | Dermatology | 680 E Main St, Suite 201, Lehi, UT 84043-2241 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245863893 | Central Utah Dermatology | Dermatology | 861 N Main, Richfield, UT 84701 | 2020-02-21 |
| 1043874332 | Waymore Shade LLC | Dermatology | 451 S Main St Ste 1, Springville, UT 84663-2293 | 2019-04-23 |
| 1598261869 | Tuttle Dermatology PC | Dermatology | 617 E Riverside Dr Ste 103, St George, UT 84790-8049 | 2018-04-04 |
| 1770099251 | Ihc Health Services Inc | Dermatology | 395 W Bulldog Blvd Ste 604, Provo, UT 84604-3331 | 2017-12-20 |
| 1417467986 | Red Ledges Dermatology Pllc | Dermatology | 1449 N 1400 W Ste 22, St George, UT 84770-5237 | 2017-10-10 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1861861155 | Brent H. Goodsell, Do | Dermatology | 162 S 1100 E, American Fork, UT 84003-2817 | 2015-09-17 |
| 1912316654 | Jeanna Tachiki Ryan | Dermatology | 243 E 6100 S, Murray, UT 84107-7302 | 2014-08-07 |
| 1659785889 | Dana Rice | Dermatology | 6095 S Fashion Blvd Ste 270, Murray, UT 84107-7387 | 2014-06-16 |
| 1548680184 | West Valley Dermatology | Dermatology | 3465 S Pioneer Pkwy, Suite 1, Salt Lake City, UT 84120-2076 | 2014-04-22 |
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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.