Canyons Medical Center PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

2625861205 Issued in UT

Legal business name

CANYONS MEDICAL CENTER PC

Practice address

9355 S 1300 E
Sandy, UT 84094-3135

Phone

(801) 572-1616

Fax

(801) 572-3106

NPI assigned

Aug 17, 2006

Organization subpart

No

Name

Michael E Cobble, MDNPI 1992927834

Title

Physician

Phone

(801) 666-6650

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

• Michael E Cobble

  • Family Medicine Physician
  • Sandy, UT
  • NPI 1992927834

  UT

  Medicare reassignment Authorized official

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

• Michael Cobble MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2019.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1043324312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980700",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840980700",
            "telephone_number": "801-572-1616",
            "fax_number": "801-572-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943135",
            "telephone_number": "801-572-1616",
            "fax_number": "801-572-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYONS MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "COBBLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-666-6650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "2625861205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Cobble MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael Cobble MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cancer Rehabilitation Centers
• Lorena Cannon, APRN
• Richard B Cannon, MD
• Canyon Lakes Health Care Inc
• Canyon View Dental
• Canyons School District
• Berret Capps
• Capstone Clinical Services
• Cara Drury Consulting LLC
• Care Treatment and Recreation

• All providers in Sandy, UT
• Primary Care Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.