Scott Martin Soulier, DPM, MSPH

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

102832-0501 Issued in UT

Practice address

4578 Highland Dr
Ste 380
Salt Lake City, UT 84117-4243

Phone

(801) 274-9060

Fax

(801) 274-9064

NPI assigned

May 23, 2005

Last updated

Apr 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1043213168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4578 HIGHLAND DR",
            "address_2": "STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174243",
            "telephone_number": "801-274-9060",
            "fax_number": "801-274-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4578 HIGHLAND DR",
            "address_2": "STE 380",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841174243",
            "telephone_number": "801-274-9060",
            "fax_number": "801-274-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOULIER",
        "first_name": "SCOTT",
        "middle_name": "MARTIN",
        "credential": "DPM, MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "0582870001",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "102832-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sami Soufi
• Cora Souimanyphanh
• Soul Growth LLC
• Soul Perch Counseling, PLLC
• Silvia M Soule
• Sound Minds LLC (Brooke Fandrich)
• Sound Sleep Medical
• Sound Sleep Medical LLC
• Source One Mobility LLC
• South Valley Healthcare, Inc. (Holladay Healthcare Center)

• Foot & Ankle Surgery Podiatrist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.