NPIMap

Organization Active NPI

Mountain West Cardiovascular Associates, PC

Doing business as Heart Center

  • Cardiovascular Disease Physician
  • Draper, UT
National Provider Identifier
1053692038
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC
Doing business as
Heart Center
Practice address
74 Kimballs LN
Suite 260 a
Draper, UT 84020-5004
Phone
(801) 571-6100
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Mrs. Teri J Wardle
Title
Credentialing Co
Phone
(801) 676-3723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

74 Kimballs LN
Suite 260 a
Draper, UT 84020-5004

Mailing address

1160 E 3900 S
Suite 2000
Salt Lake City, UT 84124-1202
Phone (801) 266-3418

Other names 1

  • Heart Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heart Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1053692038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "SUITE 2000",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-266-3418",
            "fax_number": "801-288-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 KIMBALLS LN",
            "address_2": "SUITE 260 A",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205004",
            "telephone_number": "801-571-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST CARDIOVASCULAR ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "WARDLE",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING CO",
        "authorized_official_telephone_number": "801-676-3723",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; 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.