DR. GEORGE S SCHKUDOR (NPI# 1932149093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932149093 |
| Entity Type | Individual |
| Full Name | DR. GEORGE S SCHKUDOR |
| Credential | M.D. |
| Practice Address |
5444 Green St Murray UT 84123-5632 |
| Practice Telephone | 8012841812 |
| Practice Fax Number | 8012623572 |
| Mailing Telephone | 8012622647 |
| Mailing Fax Number | 8012623897 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
174704-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
M-10330 | ID | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
174704-1205 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | D1391 | 05 |
| Street Address |
5444 GREEN ST |
| City | MURRAY |
| State | UT |
| Zip Code | 84123-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175144 | Jonathan Scott Silverstein | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2005-06-21 |
| 1730436890 | James Moyes | Physician Assistant | 5444 Green St, Murray, UT 84123-5632 | 2012-08-08 |
| 1376823138 | Karen King | Physician Assistant | 5444 Green St, Murray, UT 84123-5632 | 2011-08-25 |
| 1457630642 | Trent Russell | Physician Assistant | 5444 Green St, Murray, UT 84123-5632 | 2011-08-05 |
| 1568756393 | Nicole Erkelens | Nurse Practitioner | 5444 Green St, Murray, UT 84123-5632 | 2011-06-09 |
| 1821240243 | Joseph Lawrence Sartori | Physician Assistant | 5444 Green St, Murray, UT 84123-5632 | 2008-10-16 |
| 1710133632 | Angie A Barney | Radiologic Technologist | 5444 Green St, Murray, UT 84123-5632 | 2008-08-12 |
| 1851565006 | Christopher M Roach | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2008-04-18 |
| 1265624035 | Talmage Legrand Shill | Radiology | 5444 Green St, Murray, UT 84123-5632 | 2007-08-15 |
| 1477745453 | Darryn John Detmers | Radiologic Technologist | 5444 Green St, Murray, UT 84123-5632 | 2007-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
| 1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
| 1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
| 1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
| 1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
| 1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
| 1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
| 1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
| 1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
| 1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
| Find all providers in zip 84123 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720035520 | Mountain Medical Physician Specialists PC | Radiology | 5334 S Woodrow St Ste 101, Murray, UT 84107-5838 | 2006-05-27 |
| 1083654065 | Wendell C Johnson | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2006-06-07 |
| 1932189032 | Andras Zoltan Nemeth | Radiology | 5444 S. Green St., Murray, UT 84123-5632 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548477607 | Utah Valley Imaging | Radiology | 458 W. 800 N., Orem, UT 84058 | 2007-05-17 |
| 1770701542 | Maryam Rezvani | Radiology | 30 North 1900 East, #1a71, Salt Lake City, UT 84132 | 2007-04-24 |
| 1467575043 | Salt Lake Mri LLC | Radiology | 10696 S Riverfront Pkwy, South Jordan, UT 84095 | 2007-04-09 |
| 1700961596 | John W Vosskuhler | Radiology | 5538 Brockway Dr, Salt Lake City, UT 84117-7314 | 2006-10-27 |
| 1558467084 | Jeremy Rudd Hopkin | Radiology | 1380 East Medical Center Dr, Dixie Regional Medical Center, St. George, UT 84790 | 2006-09-15 |
| 1225006109 | Thomas C Winter IIi | Radiology | University of Utah Department of Radiology, 30 North 1900 East #1a071, Salt Lake City, UT 84132-0001 | 2006-03-08 |
| 1578070157 | Leeanne Hadfield | Radiology | 500 Foothill Dr, Salt Lake City, UT 84148-0001 | 2018-01-05 |
| 1174713978 | Ihc Health Services Inc | Radiology | 440 D St, #200, Salt Lake City, UT 84103-2817 | 2007-07-27 |
| 1417154683 | Dell P Dunn | Radiology | 1433 N 1075 W Ste 104, Farmington, UT 84025-2746 | 2007-06-29 |
| 1073642757 | Ihc Health Services Inc | Radiology | 333 S 900 E, Salt Lake City, UT 84102-2310 | 2007-03-05 |
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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.