DR. ANDREW DAVIS MOFFAT (NPI# 1942512751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942512751 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DAVIS MOFFAT |
| Credential | D.O. |
| Practice Address |
3590 W 9000 S Suite 105 West Jordan UT 84088-8857 |
| Practice Telephone | 8016012322 |
| Practice Fax Number | 8016012679 |
| Mailing Telephone | 8016012322 |
| Mailing Fax Number | 8016012679 |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2014-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 86093518904 | UT | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 86093511204 | UT | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
8609351-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
3590 W 9000 S SUITE 105 |
| City | WEST JORDAN |
| State | UT |
| Zip Code | 84088-8857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508881707 | Andrew A Miller | Specialist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2006-07-12 |
| 1104271154 | Christopher Van Terry | Physician Assistant | 3590 W 9000 S, Suite 240, West Jordan, UT 84088-8857 | 2016-04-27 |
| 1811351505 | Advanced Clinical Research, Inc. | Clinic/Center | 3590 W 9000 S, Suite 300, West Jordan, UT 84088-8857 | 2016-04-08 |
| 1831576669 | Paul Curtis Goff | Nurse Practitioner | 3590 W 9000 S, 105, West Jordan, UT 84088-8857 | 2015-04-30 |
| 1922400696 | Laura Blevins | Occupational Therapist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2014-09-24 |
| 1487056438 | Cheryl Woodard | Occupational Therapist | 3590 W 9000 S, West Jordan, UT 84088-8857 | 2014-09-22 |
| 1437492923 | Advanced Clinical Research, Inc. | Clinical Medical Laboratory | 3590 W 9000 S, Suite 300, West Jordan, UT 84088-8857 | 2013-04-03 |
| 1972707107 | Angela H. Call | Physical Therapist | 3590 W 9000 S, Suite 200, West Jordan, UT 84088-8857 | 2007-06-12 |
| 1831261304 | David Hunter Matthews | Internal Medicine | 3590 W 9000 S, Suite 240, West Jordan, UT 84088-8857 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178655 | Sierra Burt | Physician Assistant | 3584 West 90000 South Suite 304, West Jordan, UT 84088 | 2018-09-18 |
| 1659861847 | Miller Anesthesia Consultants PC | Anesthesiology | Jvmc Dept. of Anesthesiology, 3580 W. 9000 S., West Jordan, UT 84088 | 2018-05-14 |
| 1821501495 | Cleo Stephanides Cheney | Dentist | 8846 South Redwood Rd., Suite N201, West Jordan, UT 84088 | 2017-11-06 |
| 1124546742 | Crystal Lynn Santos | Counselor | 4431 8200 S, West Jordan, UT 84088 | 2017-09-04 |
| 1154705960 | Heston Farnsworth | Dentist | 9217 South Redwood Road, Suite B, West Jordan, UT 84088 | 2015-07-13 |
| 1750778767 | Andrew Cantwell | Dentist | 3855 7800 South #150, West Jordan, UT 84088 | 2015-04-17 |
| 1962764282 | Steven Howard Reano | Specialist | 8789 S Redwood Road, Ste 100, West Jordan, UT 84088 | 2012-06-12 |
| 1528328846 | Orthodontic Payment Services, LLC | Dentist | 1231 W 9000 S #d, West Jordan, UT 84088 | 2012-05-21 |
| 1588932321 | Jessica Millard | Counselor | 9278 S 1700 W, West Jordan, UT 84088 | 2011-12-08 |
| 1346553062 | Barbara Rouse | Counselor | 9278 Redwood Rd, West Jordan, UT 84088 | 2010-07-22 |
| Find all providers in zip 84088 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144369752 | Robert Alan Harris | Preventive Medicine | 2132 N Robins Dr Ste B101, Layton, UT 84041-7058 | 2007-02-06 |
| 1598844839 | Bret R Boyle | Preventive Medicine | 1220 E 3900 S Ste 3a, Salt Lake City, UT 84124 | 2006-11-06 |
| 1790718492 | Utah Hyperbaric Physicians | Preventive Medicine | 520 Medical Dr Ste 110, Bountiful, UT 84010-8931 | 2006-07-08 |
| 1306362249 | Healogics Specialty Physicians of Utah, LLC | Preventive Medicine | 1201 E 4500 S, Salt Lake City, UT 84117-4124 | 2017-08-22 |
| 1437576212 | Ihc Health Services Inc | Preventive Medicine | 98 N 1100 E, American Fork, UT 84003 | 2014-03-18 |
| 1245675453 | Ihc Health Services Inc | Preventive Medicine | 1333 N Main St, Ste 3, Cedar City, UT 84721-9314 | 2013-05-01 |
| 1033489505 | Ihc Health Services Inc | Preventive Medicine | 1400 N 500 E, Logan, UT 84341-2455 | 2011-12-30 |
| 1417238601 | Ihc Health Services Inc | Preventive Medicine | 544 S 400 E, St George, UT 84770-3705 | 2011-09-01 |
| 1104127901 | Ihc Health Services Inc | Preventive Medicine | 1034 N 500 W, Provo, UT 84604-3380 | 2010-11-10 |
| 1245464858 | Physician Wound Care Specialists of Utah | Preventive Medicine | 1220 E 3900 S Ste 3a, Salt Lake City, UT 84124-1326 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST JORDAN |
| Zip Code | 84088 |
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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.