MS. DIANE MARIE MATTOCKS PA-C, MPAS
NPI 1295782886
Physician Assistant in Salt Lake City, UT

NPI Status: Active since May 28, 2006

Contact Information

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148
Phone: (801) 582-1565
Fax: (801) 584-2503

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  • Individual
  • Female
  • Physician Assistant

About DIANE MATTOCKS

This page provides the complete NPI Profile along with additional information for Diane Mattocks, a primary care provider established in Salt Lake City, Utah with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1295782886 assigned on May 2006. The practitioner's primary taxonomy code is 363A00000X with license number 276672-1206 (UT). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1295782886
Provider Name
MS. DIANE MARIE MATTOCKS PA-C, MPAS
Gender
Female
Entity Type
Individual
Location Address
500 FOOTHILL DR SALT LAKE CITY, UT 84148
Location Phone
(801) 582-1565
Location Fax
(801) 584-2503
Mailing Address
500 FOOTHILL DR SALT LAKE CITY, UT 84148
Mailing Phone
(801) 582-1565
Mailing Fax
(801) 584-2503
Is Sole Proprietor?
Yes
Enumeration Date
05-28-2006
Last Update Date
07-08-2007
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A primary care provider (PCP) like Diane Mattocks sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
276672-1206
License State
UT
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1295782886
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221851484816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 4 + 8 + 4 + 8 + 1 + 6 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1295782886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DR. ANTHONY W MIDDLETON JR. M.D.

Specialist

500 FOOTHILL DR
SURGERY (UROLOGY)
SALT LAKE CITY, UT
ZIP 84148

(801) 531-9453

DR. CARRIE DEKORTE PHARMD, BCPS

Pharmacist

(Pharmacotherapy)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

LOUIS JOSEPH RIEL PHARMD

Pharmacist

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

DR. CHRIS J STOCK PHARM.D.

Pharmacist

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

JAISHREE VORON RPH

Pharmacist

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

TARECA JOSEPH PHARMD

Pharmacist

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

DR. RAVINDRA KUMAR PATHAK PHARMD, PHD, BCPS

Pharmacist

(Pharmacotherapy)

500 FOOTHILL DR
VA SALT LAKE CITY HCS 119A
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MR. J TODD BAKER CRNA

Nurse Anesthetist, Certified Registered

500 FOOTHILL DR
SLC, UT
ZIP 84148

(801) 584-1240

MS. VICKIE LEE VENNE M.S.

Genetic Counselor, MS

500 FOOTHILL DR
151Z
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

BRIAN WENDELL WESTFIELD APRN

Nurse Practitioner

(Primary Care)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

RUDY JOHANSEN LCSW

Social Worker

(Clinical)

500 FOOTHILL DR
116HO
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

RONALD JOHN GEBHART MD

Internal Medicine

500 FOOTHILL DR
CHIEF OF STAFF (11)
SALT LAKE CITY, UT
ZIP 84148

(801) 584-1207

MR. KENNETH ASAEL JONES PHD, LCSW

Social Worker

(Clinical)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MR. LYNN H JORGENSEN LCSW

Social Worker

(Clinical)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MS. CATHERINE MARIE BRISTOW I MPH, RD

Dietitian, Registered

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MS. KATHRYN LEIGH VAN TASSELL LCSW

Social Worker

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MS. EMILY ERIN AIKINS LCSW

Social Worker

(Clinical)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MR. CHRISTOPHER ROLLAND JAUSSI LCSW

Social Worker

(Clinical)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

JAN NEWREN APRN

Nurse Practitioner

(Psychiatric/Mental Health)

500 FOOTHILL DR
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

MR. CURTIS ALLAN IVINS PT

Physical Therapist

500 FOOTHILL DR
PHYSICAL THERAPY (117PT)
SALT LAKE CITY, UT
ZIP 84148

(801) 582-1565

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295782886, enumerated in the NPI registry as an "individual" on May 28, 2006

The provider is located at 500 Foothill Dr Salt Lake City, Ut 84148 and the phone number is (801) 582-1565

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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