DR. GRANT WAYNE BOAM (NPI# 1962744375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962744375 |
Entity Type | Individual |
Full Name | DR. GRANT WAYNE BOAM |
Credential | DVM |
Practice Address |
1090 W 4800 S Murray UT 84123-4463 |
Practice Telephone | 8018342293 |
Mailing Telephone | 8018342293 |
Enumeration Date | 2013-03-23 |
Last Update Date | 2013-03-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174M00000X | Veterinarian | 109558-8910 | UT | Other Service Providers |
Street Address |
1090 W 4800 S |
City | MURRAY |
State | UT |
Zip Code | 84123-4463 |
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 | 174M00000X |
Grouping | Other Service Providers |
Classification | Veterinarian |
A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184060287 | William D Dewees | Veterinarian | Carman Pavilion/100 Aht Center/college Farm Road, Murray State University, Murray, KY 42071 | 2013-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891152237 | Katharine Roberta Smith | Veterinarian | 10329 S State St, Sandy, UT 84070-4114 | 2016-01-15 |
1952774366 | Charles Russel Gold | Veterinarian | 3816 S Highland Dr, Salt Lake City, UT 84106-3216 | 2015-11-06 |
1083093025 | Matthew Petty | Veterinarian | 30016 Old Lincoln Hwy, Wanship, UT 84017-9607 | 2015-05-22 |
1356766034 | Lamar Bracken | Veterinarian | 55 S Bluff St, St George, UT 84770-3373 | 2014-03-04 |
1558702746 | Kathleen Marie Backus | Veterinarian | 450 E Burton Ln, Kaysville, UT 84037-2898 | 2013-07-16 |
1962843912 | Jason L Pozzuoli | Veterinarian | 5748 S Redwood Rd, Taylorsville, UT 84123-5395 | 2013-07-07 |
1760821326 | Jeff L Stoker | Veterinarian | 1580 N Washington Blvd, North Ogden, UT 84404-3210 | 2013-06-17 |
1124462064 | Ryan Vernon Cook | Veterinarian | 230 N Fairfield Rd, Layton, UT 84041-3930 | 2013-04-22 |
1902249642 | Laura Elizabeth Carpenter | Veterinarian | 6360 S Highland Dr, Salt Lake City, UT 84121-2108 | 2013-04-11 |
1639512874 | April Christine Grothe | Veterinarian | 5714 W 13400 S, Herriman, UT 84096-6907 | 2013-04-08 |
Find all providers with the same taxonomy |
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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.