DR. LLOYD PETTY (NPI# 1982050126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982050126 |
| Entity Type | Individual |
| Full Name | DR. LLOYD PETTY |
| Credential | DO, MPH |
| Practice Address |
15 N 2030 E Rm 2110 Salt Lake City UT 84112-5339 |
| Practice Telephone | 8015853353 |
| Mailing Telephone | 8015853353 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | A-2226-19 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
11605065-1204 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
15 N 2030 E RM 2110 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84112-5339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851741342 | Abhilasha Singh | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-15 |
| 1508215757 | Massiell German | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484023 | Courtney Hook | Student in an Organized Health Care Education/Training Program | 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 | 2020-07-10 |
| 1235792839 | Dylan Lamb | Rehabilitation Practitioner | 1850 S. 260 E, Salt Lake City, UT 84112 | 2019-04-18 |
| 1740787407 | David Bradley Patch | Student in an Organized Health Care Education/Training Program | University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 | 2018-04-10 |
| 1962949586 | Gina Whitehead | Nurse Practitioner | 10 South 2000 East, Salt Lake City, UT 84112 | 2017-01-20 |
| 1316493117 | Dana Friske | Specialist/Technologist | 290 S 1850 E, Room 103, Salt Lake City, UT 84112 | 2016-08-31 |
| 1548612435 | Frances Millett Johnson | Nurse Practitioner | 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 | 2016-07-05 |
| 1679920904 | Jason Lippman | Family Medicine | 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 | 2016-05-17 |
| 1447604335 | Joseph Mcbeth | Specialist/Technologist | 580 S. Guardsman Way, Salt Lake City, UT 84112 | 2016-04-18 |
| 1104213636 | Cameron Critchfield | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 | 2015-04-22 |
| 1942697933 | Jennifer Rose | Dentist | 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 | 2015-04-17 |
| Find all providers in zip 84112 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700294428 | James Craven | Internal Medicine | 30 N 1900 E Som, Department of Medicine Office of Education, Salt Lake City, UT 84132 | 2014-07-25 |
| 1467533950 | Shahzad Ahmad | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2006-10-18 |
| 1588754063 | Debra Lynn Simmons | Internal Medicine | 615 S Arapeen Dr, Suite 100, Salt Lake City, UT 84108-1267 | 2006-10-13 |
| 1033209614 | Eliot Ashby Brinton | Internal Medicine | 421 S Wakara Way Ste 121, Salt Lake City, UT 84108-1244 | 2006-10-13 |
| 1467474676 | Bruce Ryan Brady | Internal Medicine | 470 East 3900 South, #200, Salt Lake City, UT 84107-2332 | 2006-07-24 |
| 1952327173 | Simon J Fisher | Internal Medicine | 615 S Arapeen Dr Ste 100, Salt Lake City, UT 84108-1239 | 2006-07-14 |
| 1417989971 | Alireza Falahati-nini | Internal Medicine | 470 E 3900 S, Suite 200, Salt Lake City, UT 84107 | 2006-07-07 |
| 1710466115 | Jc Aljammal Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-08-07 |
| 1992298970 | Shahzad Ahmad Pllc | Internal Medicine | 4465 S 900 E Ste 200, Salt Lake City, UT 84124-2695 | 2018-06-13 |
| 1851741342 | Abhilasha Singh | Internal Medicine | 15 N 2030 E Rm 2110, Salt Lake City, UT 84112-5339 | 2016-06-15 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84112 |
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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.