NPIMap

Organization Active NPI

Salt Lake Region Neurosurgery LLC

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1033392071
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5166746-1205 Issued in UT
Legal business name
SALT LAKE REGION NEUROSURGERY LLC
Practice address
82 So 1100 East
303
Salt Lake City, UT 84102-1687
Phone
(801) 598-1041
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Jodie Karen Levitt, MDNPI 1053325365
Title
Physican
Phone
(801) 598-1041

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 5166746-1205 UT Primary

Addresses

Primary practice location

82 So 1100 East
303
Salt Lake City, UT 84102-1687

Mailing address

82 So 1100 East
303
Salt Lake City, UT 84102-1687
Phone (801) 598-1041

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1033392071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 SO 1100 EAST",
            "address_2": "303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021687",
            "telephone_number": "801-598-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SO 1100 EAST",
            "address_2": "303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021687",
            "telephone_number": "801-598-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE REGION NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "LEVITT",
        "authorized_official_first_name": "JODIE",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "801-598-1041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "5166746-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.