Individual provider Active NPI

Molly Leroy, AUD

  • Audiologist
  • West Jordan, UT
National Provider Identifier
1033442959
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
4830696-4101 Issued in UT
Practice address
8806 S Redwood Rd
Suite 103
West Jordan, UT 84088-9337
Phone
(801) 495-4800
Fax
(801) 432-7107
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 4830696-4101 UT Primary

Addresses

Primary practice location

8806 S Redwood Rd
Suite 103
West Jordan, UT 84088-9337

Mailing address

8806 S Redwood Rd
Suite 103
West Jordan, UT 84088-9337
Phone (801) 495-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000120 UT Practitioner - Qualified Audiologist 1456498088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Ear,Nose, and Throat Specialists LLC CurrentSince Sep 1, 2009 Accepting new patients

Locations

756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579

1716 N Highway 40
Ste 100
Heber City, UT 84032

4063 W 12600 S
Riverton, UT 84096
Phone (801) 495-4800

4400 S 7th E
Ste 240
Salt Lake Cty, UT 84107
Phone (801) 264-4464

22 S 9th E
Slc, UT 84102
Phone (801) 328-7522

453 N Main St
Tooele, UT 84074
Phone (435) 249-7292

8806 S Redwood Rd
Ste 103
West Jordan, UT 84088
Phone (801) 495-4800

Networks

  • UT PPO
  • UT PPO D-SNP

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252454400000",
    "number": "1033442959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8806 S REDWOOD RD",
            "address_2": "SUITE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-495-4800",
            "fax_number": "801-432-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 S REDWOOD RD",
            "address_2": "SUITE 103",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889337",
            "telephone_number": "801-495-4800",
            "fax_number": "801-432-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROY",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "4830696-4101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.