Seraphine Med Taylorsville, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SERAPHINE MED TAYLORSVILLE, LLC

Practice address

6126 South Redwood Road
Taylorsville, UT 84123

Phone

(801) 966-9907

Fax

(801) 966-0298

NPI assigned

Dec 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert Wendell Gneiting, FNP

Title

Managing Member

Phone

(801) 966-9907

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1013153311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71218",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841710218",
            "telephone_number": "801-966-9907",
            "fax_number": "801-966-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6126 SOUTH REDWOOD ROAD",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-966-9907",
            "fax_number": "801-966-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERAPHINE MED TAYLORSVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "GNEITING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WENDELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-966-9907",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lukas Segota
• Teliana Sekona
• Savannah Marie Sellars, LAT, ATC
• Chloe Seppich
• Seraphine Birth Center and Family Clinics
• Easton Serr
• Mahealani N Serra, NP
• Janelle Servoss
• Bryson Sessions
• David Brent Sessions Sr., D.C.

• Family Medicine Physician in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.