Provider Demographics
NPI:1215047758
Name:WARD, SHELDON DON (MD)
Entity type:Individual
Prefix:
First Name:SHELDON
Middle Name:DON
Last Name:WARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:4401 HARRISON BOULEVARD
Practice Address - Street 2:MCKAY DEE HOSPITAL
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT71-152607-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID804075200Medicaid
UT35568OtherDESERET MUTUAL
UT516684OtherHEALTHY U
UT8597445OtherWORKERS COMP FUND
WY107951400Medicaid
UT1502954OtherUMWA
UT2090168OtherUNITED HEALTHCARE
UT870545614WA1OtherEDUCATORS MUTUAL
UT107005079101OtherIHC
UTPRA07151OtherMOLINA
AZ821670Medicaid
UT37830OtherPEHP
NV100501273Medicaid
UTQM0000075886OtherALTIUS
NV100501273Medicaid
UTQM0000075886OtherALTIUS
UT005532760Medicare ID - Type Unspecified