NPIMap

Organization Active NPI

Valley Obstetrics and Gynecology, PC

Doing business as South County Group

  • Obstetrics & Gynecology Physician
  • Spanish Fork, UT
National Provider Identifier
1073187258
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VALLEY OBSTETRICS AND GYNECOLOGY, PC
Doing business as
South County Group
Practice address
819 E Market Place Dr 3Rd Floor
Spanish Fork, UT 84660
Phone
(801) 374-1801
Fax
(801) 216-8357
NPI assigned
May 13, 2021
Last updated
May 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Adam Rasmussen
Title
Ceo
Phone
(801) 374-1802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

819 E Market Place Dr 3Rd Floor
Spanish Fork, UT 84660

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-5000

Other names 1

  • South County Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000547 UT Part B Supplier - Clinic/Group Practice 5890862726 Receives reassigned benefits from 109 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lehi, UT; American Fork, UT; Vineyard, UT; St George, UT; Springville, UT; Spanish Fork, UT; Saratoga Springs, UT; Provo, UT…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1073187258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-5000",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 E MARKET PLACE DR 3RD FLOOR",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "84660",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-374-1802"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South County Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spanish Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.