Organization Active NPI

La Sal Anesthesia, PC

  • Anesthesiology Physician
  • Provo, UT
National Provider Identifier
1043700859
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LA SAL ANESTHESIA, PC
Practice address
320 River Park Dr
Provo, UT 84604-6060
Phone
(801) 609-4476
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Authorized official

Name
Dr. Targhee Morris, MD
Title
Owner
Phone
(801) 609-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

320 River Park Dr
Provo, UT 84604-6060

Mailing address

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717

National Provider Directory

National Provider Directory

Locations

320 River Park Dr
Provo, UT 84604
Phone (801) 609-4476

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1043700859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 305",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046060",
            "telephone_number": "801-609-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SAL ANESTHESIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TARGHEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-609-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.