RESTORATIVE HEALTH PRIMARY CARE (NPI# 1952953101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952953101 |
Entity Type | Organization |
Organization Name | RESTORATIVE HEALTH PRIMARY CARE |
Practice Address |
850 E 9400 S Ste 101 Sandy UT 84094-4114 |
Practice Telephone | 3854490565 |
Mailing Telephone | 3854490565 |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-07-09 |
Authorized Official Name | WILLIAM BEESLEY (PARTNER) |
Authorized Official Telephone | 3854490565 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | COUNCIL FOR AFFORDABLE QUALITY HEALTHCARE (CAQH) PROVIDER ID | 14053329 | 01 |
Other Name | Type Code |
---|---|
Restorative Health Primary Care & Ketamine | Doing Business As Name - Organization |
Street Address |
850 E 9400 S STE 101 |
City | SANDY |
State | UT |
Zip Code | 84094-4114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225664667 | Emily Kay Dettenmaier | Nurse Practitioner | 850 E 9400 S Ste 101, Sandy, UT 84094-4114 | 2020-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649754508 | Hollie J Wharton | Advanced Practice Midwife | 9450 S. 1300 E., Sandy, UT 84094 | 2018-09-18 |
1417306804 | Sarah Scheibe | Counselor | 1123 E Tulane Cir, Sandy, UT 84094 | 2016-06-07 |
1457771313 | Zhenhao Liu | Internal Medicine | 11333 S 1000 E Ste 100, Sandy, UT 84094 | 2014-04-18 |
1770919714 | Bojan Jurosevic | Physical Therapist | 7940 South 1300 East, Sandy, UT 84094 | 2013-09-23 |
1104259464 | Ryan Blick | Marriage & Family Therapist | 833 East 9400 South, Sandy, UT 84094 | 2013-08-09 |
1780027821 | Lauren Coyle | Obstetrics & Gynecology | 9600 S 1300 E Ste 308, Sandy, UT 84094 | 2013-04-08 |
1285971697 | Robert W Later Md PC | Specialist | 9600 S 1300 E Suite 302, Sandy, UT 84094 | 2013-01-07 |
1306149679 | Premier Home Health, LLC | Home Health | 978 Larkspur Dr, Sandy, UT 84094 | 2010-12-08 |
1760704753 | Altaview Hospital | General Acute Care Hospital | 9660 South 13th East, Sandy, UT 84094 | 2010-02-18 |
1750518676 | Julie Christensen | Social Worker | 833 E 9400 S, Sandy, UT 84094 | 2009-06-18 |
Find all providers in zip 84094 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154750149 | Brett Luddington, Inc. | Clinic/Center | 7430 S Creek Rd, Ste 104, Sandy, UT 84093-6158 | 2013-11-11 |
1699909457 | Ihc Health Services Inc | Clinic/Center | 9844 S 1300 E, Ste 350, Sandy, UT 84094-4673 | 2009-05-08 |
1942325154 | Ihc Health Services Inc | Clinic/Center | 9660 S 1300 E, Sandy, UT 84094-3762 | 2007-03-20 |
1669498069 | Ihc Health Services, Inc. | Clinic/Center | 9660 S 1300 E, Sandy, UT 84094-3762 | 2006-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063028991 | Atlas Epigenetics | Clinic/Center | 3311 N University Ave Ste 150, Provo, UT 84604-7431 | 2020-09-16 |
1649882069 | Vasco Healthcare Inc | Clinic/Center | 470 E 3900 S Ste 100, Salt Lake City, UT 84107-2331 | 2020-08-18 |
1467082644 | Treatment Network LLC | Clinic/Center | 12608 S 125 W Ste B2, Draper, UT 84020-5443 | 2020-01-16 |
1750928214 | Kyunghee Seo K Mental Health Clinic | Clinic/Center | 1160 S State St Ste 160a, Orem, UT 84097-8263 | 2019-12-04 |
1740836345 | The Lift Clinic, LLC | Clinic/Center | 345 W 100 S # 6c, Slc, UT 84101-1209 | 2019-08-11 |
1063986800 | Healthworks Med Group of Utah P C | Clinic/Center | 4163 S 3200 W, West Valley City, UT 84119-5128 | 2019-01-15 |
1235615790 | Community Birth Group | Clinic/Center | 1190 E 5425 S Ste 330, South Ogden, UT 84403-4548 | 2018-07-17 |
1275044075 | Edge Medical Services Inc. | Clinic/Center | 959 W Sedge Ct, Farmington, UT 84025-2541 | 2017-10-19 |
1992214027 | National Birth Centers, Inc | Clinic/Center | 4345 S Vallejo Dr, Holladay, UT 84124-3756 | 2017-09-20 |
1184149361 | Positive Pathways | Clinic/Center | 23 S Carbon Ave Ste 8, Price, UT 84501-2831 | 2017-08-08 |
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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.