Dr. Toby Merrill Enniss
Surgeon Trauma Surgeon Surgical Critical Care
30 N. 1900 East, Mreb 307 University Of Utah School Of Medicine, Dept. Of Surgery
Salt Lake City
, Utah 84132
Dr. Toby Merrill Enniss
Surgeon Trauma Surgeon Surgical Critical Care
30 N. 1900 East, Mreb 307 University Of Utah School Of Medicine, Dept. Of Surgery
Salt Lake City
, Utah 84132
(801) 587-9370
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Toby Merrill Enniss
- 30 N. 1900 East, Mreb 307 University Of Utah School Of Medicine, Dept. Of Surgery
- Salt Lake City, UT
- Zip : 84132-0001
- Fax : (801) 587-9370
- Phone : (801) 585-7280
Second Address
- Dr. Toby Merrill Enniss
- 30 N. 1900 East, Mreb 307 University Of Utah School Of Medicine, Dept. Of Surgery
- Salt Lake City, UT
- Zip : 84132
- Fax : (801) 587-9370
- Phone : (801) 585-7280
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 7643802-1205 | UT |
| N | 208600000X | Surgeon | 7643802-1205 | UT |
| Y | 2086S0102X | Surgical Critical Care | 7643802-1205 | UT |
| N | 2086S0127X | Trauma Surgeon | 7643802-1205 | UT |
National Provider Identifier
| NPI | 1295915536 |
|---|---|
| Provider Name | Dr. Toby Merrill Enniss |
| First Address | Salt Lake City, UT 84132-0001 |
| Second Address | Salt Lake City, UT 84132 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2007 |
| Last Update Date | 25/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 31039-B | (02) | NC |
| 7643802-1205 | STATE MEDICAL LICENSE (01) | UT |
| 7643802-8905 | STATE CONTROLLED SUBSTANCE NUMBER (01) | UT |
| FE1070731 | FEDERAL DEA # (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.