NPIMap

Organization Active NPI

Jay M. Spector,M.D.,LLC

Doing business as Oasis Family Medicine

  • Family Medicine Physician
  • Tooele, UT
National Provider Identifier
1043243850
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1670871205 Issued in UT
Legal business name
JAY M. SPECTOR,M.D.,LLC
Doing business as
Oasis Family Medicine
Practice address
1929 Aaron Dr
Suite I
Tooele, UT 84074-8112
Phone
(435) 833-0229
Fax
(435) 833-0231
NPI assigned
Jul 8, 2006
Last updated
Oct 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Authorized official

Name
Jay M Spector, M.D.NPI 1386630259
Title
Owner
Phone
(435) 833-0229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1670871205 UT Primary

Addresses

Primary practice location

1929 Aaron Dr
Suite I
Tooele, UT 84074-8112

Mailing address

PO Box 932
Sandy, UT 84091-0932
Phone (801) 619-2175

Other identifiers 1

IdentifierTypeStateIssuer
303566917001MedicaidUT

Other names 1

  • Oasis Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1929 N Aaron Dr
Tooele, UT 84074
Phone (435) 238-4318

1929 N Aaron Dr
Ste 1
Tooele, UT 84074
Phone (435) 850-1823

1929 N Aaron Dr
Ste I
Tooele, UT 84074
Phone (435) 833-0229

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254355200000",
    "number": "1043243850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840910932",
            "telephone_number": "801-619-2175",
            "fax_number": "801-553-9562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 AARON DR",
            "address_2": "SUITE I",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-833-0229",
            "fax_number": "435-833-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY M. SPECTOR,M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-10-01",
        "status": "A",
        "authorized_official_last_name": "SPECTOR",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-833-0229",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1670871205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303566917001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.