NPIMap

Organization Active NPI

Murray Family Medicine PLLC

  • Primary Care Clinic/Center
  • Murray, UT
National Provider Identifier
1053773770
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0016571 Issued in UT
Legal business name
MURRAY FAMILY MEDICINE PLLC
Practice address
4815 S Center St
Murray, UT 84107-4814
Phone
(801) 262-2443
Fax
(801) 262-8869
NPI assigned
Mar 22, 2016
Last updated
Nov 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Mark D Johnson, M.D.
Title
Office Manager
Phone
(801) 265-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0016571 UT Primary

Addresses

Primary practice location

4815 S Center St
Murray, UT 84107-4814

Mailing address

4815 S Center St
Murray, UT 84107-4814
Phone (801) 262-2443

National Provider Directory

National Provider Directory

Locations

4815 S Center St
Salt Lake City, UT 84107
Phone (801) 262-2443

Practitioners & affiliated clinicians

Practitioners 3

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": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1053773770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 S CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S CENTER ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074814",
            "telephone_number": "801-262-2443",
            "fax_number": "801-262-8869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "18012652212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "0016571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.