DR. LEON E PAULOS (NPI# 1992700330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992700330 |
| Entity Type | Individual |
| Full Name | DR. LEON E PAULOS |
| Other Name | DR. LONNIE E PAULOS |
| Credential | MD |
| Practice Address |
324 10th Ave Suite 175 Salt Lake City UT 84103-2853 |
| Practice Telephone | 8014088123 |
| Practice Fax Number | 8014088124 |
| Mailing Telephone | 8014088123 |
| Mailing Fax Number | 8014088124 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2012-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
ME102290 | FL | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
5107 | NV | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
157061-8905 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD | 53250 | 01 |
| FL | 000725800 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 592-02754 | 01 |
| Street Address |
324 10TH AVE SUITE 175 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84103-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568715092 | Ihc Health Services Inc | Psychiatry & Neurology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2885 | 2012-10-22 |
| 1568747707 | Nathan Carter Littlefield | Nurse Practitioner | 324 10th Ave, 100, Salt Lake City, UT 84103-2853 | 2011-10-19 |
| 1972824803 | Wasatch Hematology / Oncology Associates, P.C. | Internal Medicine | 324 10th Ave, Suite 274, Salt Lake City, UT 84103-2853 | 2010-06-15 |
| 1235363094 | Ihc Health Services Inc | Clinic/Center | 324 10th Ave, Ste 206, Salt Lake City, UT 84103-2853 | 2009-05-08 |
| 1174776348 | Ihc Health Services Inc | Internal Medicine | 324 10th Ave, #249, Salt Lake City, UT 84103-2853 | 2008-10-31 |
| 1336307966 | Ihc Health Services Inc | Urology | 324 10th Ave, Ste 178, Salt Lake City, UT 84103-2853 | 2008-05-30 |
| 1427236082 | Hyong Tae Kim | Surgery | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2008-02-06 |
| 1891979563 | Celia A Garner | Internal Medicine | 324 10th Ave, Suite 100, Salt Lake City, UT 84103-2853 | 2007-12-18 |
| 1851571590 | Richard V. Matern | Urology | 324 10th Ave, Ste 100, Salt Lake City, UT 84103-2853 | 2007-11-09 |
| 1902095631 | Daniel Young | Nurse Practitioner | 324 10th Ave, Suite 206, Salt Lake City, UT 84103-2853 | 2007-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932509213 | Paul David Rauch | Specialist/Technologist | 701 De Soto Street, Salt Lake City, UT 84103 | 2014-08-24 |
| 1073866695 | University Neuropsychiatric Institute | Community Based Residential Treatment Facility, Mental Illness | 252 South 500 East, Salt Lake City, UT 84103 | 2012-10-19 |
| 1114285558 | Christopher John Murphy | Student in an Organized Health Care Education/Training Program | 585 1st Ave, Salt Lake City, UT 84103 | 2012-04-23 |
| 1447573266 | Peter Louis Kapelke | Specialist | Fairfax Rd. @ Virginia St., Shriners Hospital Salt Lake City, Salt Lake City, UT 84103 | 2010-03-08 |
| 1578763389 | Susana Auhangamea Kinikini | Nurse Practitioner | Fairfax @ Virginia Street, Salt Lake City, UT 84103 | 2007-07-19 |
| 1609082320 | Cynthia N Shumway | Social Worker | 580 10th Avenue, Salt Lake City, UT 84103 | 2007-05-16 |
| 1811010655 | Kent Walker Farnsworth | Obstetrics & Gynecology | 1509 Federal Heights Drive, Salt Lake City, UT 84103 | 2007-04-09 |
| 1912082421 | Eloise Agnes Maughan | Nurse Practitioner | 324 8th Ave, Lds Hospital, Salt Lake City, UT 84103 | 2006-10-25 |
| 1407968464 | Kit D Smith | Anesthesiology | 359 - 8th Avenue, Asc, Salt Lake City, UT 84103 | 2006-08-31 |
| 1396854113 | Lisa H Carter | Physical Therapist | 1285 East Fairfax Road, Salt Lake City, UT 84103 | 2006-08-29 |
| Find all providers in zip 84103 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811265044 | Lonnie Paulos Md PC | Orthopaedic Surgery | 324 East 10th Avenue, Ste 172, Salt Lake City, UT 84103-3184 | 2011-12-02 |
| 1487646998 | Robert B Bourne | Orthopaedic Surgery | 1160 E 3900 S Ste 5000, Salt Lake City, UT 84124-1275 | 2005-08-19 |
| 1083128730 | Kia Wilson | Orthopaedic Surgery | 375 S Chipeta Way, Salt Lake City, UT 84108-1260 | 2017-11-16 |
| 1073773107 | Andrew D Cooper Md PC | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2008-06-12 |
| 1396713020 | Mark David Scholl | Orthopaedic Surgery | 82 S 1100 E, Suite 303, Salt Lake City, UT 84102-1686 | 2006-03-09 |
| 1477547164 | Andrew D. Cooper | Orthopaedic Surgery | 24 S 1100 E, Salt Lake City, UT 84102-1500 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477865491 | Ihc Health Services Inc | Orthopaedic Surgery | 1159 E 200 N Ste 100, American Fork, UT 84003-2053 | 2010-07-07 |
| 1558546739 | Mark A.rosen Md, LLC | Orthopaedic Surgery | 5911 Fashion Blvd., Suite 100, Murray, UT 84107 | 2008-01-07 |
| 1255422192 | Bruce E Thomas | Orthopaedic Surgery | 5957 Fashion Point Dr, Suite 101, Ogden, UT 84403-5180 | 2006-09-27 |
| 1922098334 | Eric A Heiden | Orthopaedic Surgery | 2200 Park Ave Bldg D, Park City, UT 84060-7246 | 2005-10-26 |
| 1366917577 | Kevin Dale Newbold | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-2312 | 2018-10-04 |
| 1588162283 | Alpine Management and Consulting | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2018-01-28 |
| 1154842607 | Ihc Health Services Inc | Orthopaedic Surgery | 201 W Layton Parkway, Layton, UT 84041 | 2017-07-05 |
| 1043697154 | Ihc Health Services Inc | Orthopaedic Surgery | 3895 Harrison Blvd, Ogden, UT 84403-8440 | 2015-04-28 |
| 1427456797 | Intermountain Healthcare | Orthopaedic Surgery | 652 S Medical Center Dr, Suite 120, St George, UT 84790-7049 | 2014-12-18 |
| 1962805358 | Utah Valley University | Orthopaedic Surgery | 800 W University Pkwy, Orem, UT 84058-6703 | 2014-09-30 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84103 |
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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.