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DR. WILLIAM HARMON TETTELBACH MD NPI 1336143361


NPI Information

NPI: 1336143361
Provider Name: DR. WILLIAM HARMON TETTELBACH, MD
Classification: Internal Medicine - 207RI0200X
Entity Type: Individual

Specialization: Infectious Disease

PECOS Registration: Yes

Address:
1160 E 3900 S STE G175
SALT LAKE CITY, UT
ZIP 84124
Phone: (012) 687-4058
Get Directions

DR. William Harmon Tettelbach, MD is an infectious disease internal medicine in Salt Lake City, UT with 29 years of experience. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. DR. William Harmon Tettelbach, MD NPI is 1336143361. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

1160 E 3900 S STE G175
SALT LAKE CITY, UT
ZIP 84124-202
Phone: (012) 687-4058

The NPI 1336143361 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 10/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseMD 37898TENNESSEENo
22083P0011XPreventive MedicineUndersea and Hyperbaric Medicine351005-1205UTAHNo
32083P0011XPreventive MedicineUndersea and Hyperbaric MedicineMD0000037898TENNESSEENo
4207RI0200XInternal MedicineInfectious Disease351005-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13510051205OTHERUTAHUTAH LICENSE
23714443MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.