Active NPI
Michael Saul Pomper, MA CCC SLP
- Speech-Language Pathologist
- St George, UT
National Provider Identifier
1073676136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 62947984102
- Practice address
- 1745 East 280 North
St George, UT 84790 - Phone
- (435) 628-5701
- Fax
- (435) 652-0186
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 62947984102 | UT | Primary |
Addresses
Primary practice location
1745 East 280 North
St George, UT 84790
Mailing address
311 East 615 South
Ivins, UT 84738-5053
Phone (436) 656-3687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62947984102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073676136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 EAST 615 SOUTH",
"city": "IVINS",
"state": "UT",
"postal_code": "847385053",
"telephone_number": "436-656-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1745 EAST 280 NORTH",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "84790",
"telephone_number": "435-628-5701",
"fax_number": "435-652-0186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMPER",
"first_name": "MICHAEL",
"middle_name": "SAUL",
"name_prefix": "Mr.",
"credential": "MA CCC SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "62947984102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.