NPIMap

Organization Active NPI

Heart and Lung Institute of Utah Inc

  • Cardiovascular Disease Physician
  • Murray, UT
National Provider Identifier
1013954411
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART AND LUNG INSTITUTE OF UTAH INC
Practice address
5979 Fashion Blvd
Murray, UT 84107-7364
Phone
(801) 263-2370
Fax
(801) 265-1200
NPI assigned
Jun 2, 2006
Last updated
Jul 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Authorized official

Name
Tyler K Wilko
Title
Coo
Phone
(801) 263-2370

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

5979 Fashion Blvd
Murray, UT 84107-7364

Mailing address

PO Box 847112
Dallas, TX 75284-7112
Phone (801) 263-2370

Other identifiers 1

IdentifierTypeStateIssuer
1811954191MedicaidUT

National Provider Directory

National Provider Directory

Locations

5169 S Cottonwood St
Ste 620
Murray, UT 84107

1160 E 3900 S
Ste G300
Salt Lake City, UT 84124
Phone (801) 263-0140

3570 W 9000 S
Ste 110
West Jordan, UT 84088
Phone (801) 266-2715

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1013954411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847112",
            "telephone_number": "801-263-2370",
            "fax_number": "801-265-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 FASHION BLVD",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077364",
            "telephone_number": "801-263-2370",
            "fax_number": "801-265-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND LUNG INSTITUTE OF UTAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "WILKO",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-263-2370"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811954191",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.