Active NPI
Catholic Health Initiatives Colorado
- Orthopaedic Surgery Physician
- West Jordan, UT
National Provider Identifier
1073215331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 3584 W 9000 S Ste 405
West Jordan, UT 84088-5712 - Phone
- (801) 568-3480
- Fax
- (801) 568-3482
- NPI assigned
- Mar 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Adninistrator, Oma
- Phone
- (303) 673-7175
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X |
Addresses
Primary practice location
3584 W 9000 S Ste 405
West Jordan, UT 84088-5712
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 3
- OSWJ ORTHO SPORT W JOR
- Orthopedics & Sports Medicine Jordan Valley
- Orthopedics & Sports Medicine West Jordan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
124 S Fairfield Rd
Ste A
Layton, UT 84041
Phone (801) 547-9462
6322 S 3000 E
Ste 140
Salt Lake City, UT 84121
Phone (801) 733-9924
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Rock Springs, WY
- NPI 1649560764
-
- Critical Care Medicine (Internal Medicine) Physician
- Las Vegas, NV
- NPI 1790857498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739836800000",
"number": "1073215331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 W 9000 S STE 405",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885712",
"telephone_number": "801-568-3480",
"fax_number": "801-568-3482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-20",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADNINISTRATOR, OMA",
"authorized_official_telephone_number": "303-673-7175",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "OSWJ ORTHO SPORT W JOR",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Orthopedics & Sports Medicine Jordan Valley",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Orthopedics & Sports Medicine West Jordan",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Jordan, UT
- Paul Lewis Carver, LPC
- Cascade Dental Care Inc
- Jessica Castaneda-Romero
- Fabrienne Castro
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.