South Valley Orthomed, PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

SOUTH VALLEY ORTHOMED, PLLC

Practice address

10623 S Redwood Rd
Ste 101
South Jordan, UT 84095-2481

Phone

(801) 566-4242

Fax

(801) 987-3493

NPI assigned

Apr 25, 2017

Last updated

Aug 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John D Sonnenberg, MD

Title

Physician/Owner

Phone

(801) 566-4242

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Brock Bodily

  • Surgical Physician Assistant
  • South Jordan, UT
  • NPI 1366004517
  NPD
• Kathryn Renee Marshall, P.A.-C

  • Medical Physician Assistant
  • South Jordan, UT
  • NPI 1174683775
  NPD

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1073048344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10623 S REDWOOD RD",
            "address_2": "STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952481",
            "telephone_number": "801-566-4242",
            "fax_number": "801-987-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10623 S REDWOOD RD",
            "address_2": "STE 101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840952481",
            "telephone_number": "801-566-4242",
            "fax_number": "801-987-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY ORTHOMED, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "SONNENBERG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "801-566-4242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jordan Care Group LLC
• South Jordan Chiropractic, LLC
• South Jordan PDC PLLC (Cornerstone Dental)
• South Mountain Dialysis, LLC
• South Point Counseling Services, LLC
• South Valley Speech and Language, LLC
• Southridge Pediatric Dentistry
• Southwest Chiropractic, Inc.
• Southwest Oral and Facial Surgery Inc
• Michaelle Lei Spears, APRN

• Orthopaedic Surgery Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.