The Addiction Medicine Physicians Group, LLC · Addiction Medicine (Anesthesiology) Physician

9160 S 300 E. Ste 25, Sandy, UT 84070

Overview

The Addiction Medicine Physicians Group, LLC is a Addiction Medicine (Anesthesiology) Physician (organization) practicing in Sandy, Utah. The National Provider Identifier (NPI) is #1790273704, which was assigned on April 25, 2018, and the registration record was last updated on April 25, 2018. The practitioner's main practice location is at 9160 S 300 E. Ste 25, Sandy, UT 84070; the contact telephone number is 8018598092, and the fax number is 8449659279. The primary taxonomy of The Addiction Medicine Physicians Group, LLC is Addiction Medicine (Anesthesiology) Physician (207LA0401X), with specialization in Addiction Medicine. The authorized official for The Addiction Medicine Physicians Group, LLC is Mr. Terrell Lee Sellers (Medical Director). The Addiction Medicine Physicians Group, LLC is licensed to practice in the state of Utah (#311613-3102), Utah (#293281-1205).

An anesthesiologist who specializes in the diagnosis and treatment of addictions.

Provider Information

NPI 1790273704
Entity Type Organization
Organization Name THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Provider Name THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Practice Address 9160 S 300 E. Ste 25
Sandy
UT 84070
Practice Telephone 8018598092
Practice Fax Number 8449659279
Mailing Address 9160 S. 300 E Ste 25
Sandy
UT 84070
Mailing Telephone 8018598092
Mailing Fax Number 8449659279
Enumeration Date 2018-04-25
Last Update Date 2018-04-25
Is Organization Subpart N

Authorized Official Information

Official Name MR. TERRELL LEE SELLERS
Official Title MEDICAL DIRECTOR
Credential M.D.
Telephone 8018598092

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N163WA0400XRegistered NurseAddiction (Substance Use Disorder)193200000X MULTI-SPECIALTY GROUP311613-3102UT
Y207LA0401XAnesthesiologyAddiction Medicine193200000X MULTI-SPECIALTY GROUP293281-1205UT

Taxonomy Information

Primary Taxonomy

Code 207LA0401X
Taxonomy Addiction Medicine (Anesthesiology) Physician
Classification Anesthesiology
Specialization Addiction Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: An anesthesiologist who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology.

Other Taxonomy

Code 163WA0400X
Taxonomy Addiction (Substance Use Disorder) Registered Nurse
Classification Registered Nurse
Specialization Addiction (Substance Use Disorder)
Grouping Nursing Service Providers
Definition: Definition to come...

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Charles Ivy Lee 4025 Pepperwood Cir Sw Ste C, Huntsville, AL 35801-7438Addiction Medicine (Anesthesiology) Physician2006-01-17
Kenneth Slater 18 Constitution Dr Ste 10, Bedford, NH 03110-6076Addiction Medicine (Anesthesiology) Physician2007-05-09
Emily Marie Peterson 200 1st St Sw, Rochester, MN 55905-0001Addiction Medicine (Anesthesiology) Physician2024-04-22
Johanna Renee Remley 1974 Walton Nicholson Pike, Independence, KY 41051-7906Addiction Medicine (Anesthesiology) Physician2026-02-18
Maria Dolores Castillo 1 Gustave L Levy Pl Dept Of, New York, NY 10029-6504Addiction Medicine (Anesthesiology) Physician2006-05-06
Nosheen Hasan 6200 W Center St, Milwaukee, WI 53210-2159Addiction Medicine (Anesthesiology) Physician2005-09-02
Amber Elmore 4672 Maverick Ln Ste 1, Lakeside, AZ 85929-5459Addiction Medicine (Anesthesiology) Physician2018-07-25
Juan Jose Jose Morales Behaine 200 1st St Sw, Rochester, MN 55905-0001Addiction Medicine (Anesthesiology) Physician2024-08-03
Susan T Koo 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210-1835Addiction Medicine (Anesthesiology) Physician2017-06-08
John George Kelley 555 Knowles Dr, Los Gatos, CA 95032-1549Addiction Medicine (Anesthesiology) Physician2007-03-20
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Location Information

Street Address 9160 S 300 E. STE 25
City SANDY
State UT
Zip Code 84070
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Sadie Elizabeth Atkinson 59 W 9000 S, Sandy, UT 84070-2008Social Worker2025-09-03
Cassandra Debenham 8899 S 700 E Ste 125, Sandy, UT 84070-1825Internal Medicine Physician2025-08-05
Big Valley Therapy LLC 59 W 9000 S Ste 4, Sandy, UT 84070-2008Marriage & Family Therapist2025-09-29
Ryan Blamires 59 W 9000 S, Sandy, UT 84070-2008Social Worker2025-08-26
Tainui Brewster 59 W 9000 S, Sandy, UT 84070-2008Social Worker2025-12-04
Carol Wang 59 W 9000 S, Sandy, UT 84070-2008Social Worker2025-08-25
Gavin Woods 8899 S 700 E Ste 250, Sandy, UT 84070-1813Nurse Practitioner2020-09-17
Shaune Bullock 8899 S 700 E Ste 250, Sandy, UT 84070-1813Family Nurse Practitioner2020-08-21
Guadalupe Lizeth Hernandez 625 E 8400 S Ste C, Sandy, UT 84070-0525Clinical Social Worker2012-12-26
Gabriela Alejandra Hernandez Gonzalez 79 E Princeton Dr Apt C315, Sandy, UT 84070-1249Physician Assistant2023-04-17
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.