Thyroid Clinic LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

THYROID CLINIC LLC

Practice address

1055 N 300 W Ste 315
Provo, UT 84604-3373

Phone

(385) 205-6510

Fax

(385) 375-6112

NPI assigned

Mar 26, 2021

Last updated

Jan 25, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura John

Title

Credentialing

Phone

(801) 231-6986

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shahzad Ahmad, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1467533950
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1003493933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242695",
            "telephone_number": "385-205-6510",
            "fax_number": "385-375-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 315",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "385-205-6510",
            "fax_number": "385-375-6112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4465 S 900 E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841242695",
            "country_code": "US",
            "telephone_number": "801-871-8366",
            "fax_number": "801-375-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THYROID CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "801-231-6986"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Ivan Thueson, PT
• Rylee Danielle Thurgood
• Thurman Hornbuckle III
• Carissa Thurman
• Thurston Enterprise, Inc. D.B.a. Miracle Ear
• Thyroid Institute of Utah
• Vynessa Tibbitts
• Eric Ivan Tidwell, DDS
• Matthew Melvin Tiemann, PA-C
• Brennen Scott Till

• Endocrinology, Diabetes & Metabolism Physician in Provo, UT
• Providers in Provo, UT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.