Mario Damon La Giglia, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

9743925-1204 Issued in UT

Practice address

802 S 200 W
Blanding, UT 84511-3910

Phone

(435) 678-3993

Fax

(435) 678-3992

NPI assigned

Jun 23, 2009

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Mountain HospitalGroup PAC ID 0749344661, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Blue Mountain Hospital Hospital, Blanding, UT, CCN 461310

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/
• Direct secure messaging: mario.lagiglia.2@16299.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Medicare reassignment Care Compare group NPD
• San Juan County Hospital

  dba San Juan Clinic

  • Rural Health Clinic/Center
  • Monticello, UT
  • NPI 1659315877

  Family Medicine

  Medicare reassignment NPD
• San Juan County Hospital

  dba San Juan Health

  • Emergency Care Clinic/Center
  • Monticello, UT
  • NPI 1114121100
  NPD
• San Juan County Hospital

  dba Spanish Valley Clinic

  • Rural Health Clinic/Center
  • Spanish Valley, UT
  • NPI 1588978738

  Family Medicine

  NPD
• San Juan County Hospital

  • Critical Access Hospital
  • Monticello, UT
  • NPI 1942251459
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Blue Mountain Hospital

  • Critical Access Hospital Clinic/Center
  • Blanding, UT
  • NPI 1558513812
  Care Compare affiliation

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1013145697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 S 200 W",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113910",
            "telephone_number": "435-678-3993",
            "fax_number": "435-678-3992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2260 Rodeo Drive",
            "address_purpose": "LOCATION",
            "city": "Linden",
            "state": "NC",
            "postal_code": "28356",
            "country_code": "US",
            "telephone_number": "915-540-2736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA GIGLIA",
        "first_name": "MARIO",
        "middle_name": "DAMON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2015-02260",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "UT",
            "license": "9743925-1204",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Brett Kelley
• Heidi Kennedy, PHARMD
• Brittney King, LPC
• Ronald Kirk, OD
• Katie Sylvia Knight
• Jenna Larose
• Michael Larson
• Jacqueline Latham, RN
• Grant A Laws
• Lonnie James Laws

• Surgery Physician in Blanding, UT
• Providers in Blanding, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.