Organization Active NPI

Catholic Health Initiatives Colorado

  • Orthopaedic Surgery Physician
  • West Jordan, UT
National Provider Identifier
1073215331
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Feb 18, 2025

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Orthopedics & Sports Medicine Jordan Valley Other name
  • Orthopedics & Sports Medicine West Jordan Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.