Active NPI
James G Theurer, MD
- Ophthalmology Physician
- Provo, UT
National Provider Identifier
1083685101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 983624541205
- Practice address
- 1735 N State St
Provo, UT 84604-1010 - Phone
- (801) 374-1818
- Fax
- (801) 379-2959
- NPI assigned
- Jan 27, 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 983624541205 | UT | Primary |
Addresses
Primary practice location
1735 N State St
Provo, UT 84604-1010
Mailing address
120 S 1025 E
Lindon, UT 84042-2134
Phone (801) 362-3151
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180041850 | Other | UT | RAILROAD MEDICARE |
| 5557665 | Other | UT | AETNA |
| 8064710002 | Other | UT | CIGNA |
| 87028357684604A001 | Other | UT | PGBA |
| 0800084 | Other | UT | UNITED HEALTHCARE |
| 87028357684604A001 | Other | UT | TRICARE |
| 870283576TH1 | Other | UT | EMIA |
| 345610 | Other | UT | DMBA |
| 1182764 | Other | UT | AFFORDABLE |
| 107008469102 | Other | UT | SELECT HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.79 of 100
- Quality
- 81.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 983624541205 | UT | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Eye Associates | Ophthalmology | Current | Accepting new patients |
| Central Utah Optical | Past | Accepting new patients |
Locations
674 S Highway 99
Fillmore, UT 84631
Phone (435) 743-5555
1172 E 100 N
Ste 4
Payson, UT 84651
Phone (801) 465-2575
1735 N State St
Provo, UT 84604
Phone (801) 374-1818
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Provo, UT
- NPI 1992722888
-
- Eyewear Supplier
- Provo, UT
- NPI 1396831483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1083685101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S 1025 E",
"city": "LINDON",
"state": "UT",
"postal_code": "840422134",
"telephone_number": "801-362-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 N STATE ST",
"city": "PROVO",
"state": "UT",
"postal_code": "846041010",
"telephone_number": "801-374-1818",
"fax_number": "801-379-2959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEURER",
"first_name": "JAMES",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "983624541205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180041850",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5557665",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8064710002",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PGBA",
"identifier": "87028357684604A001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800084",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "87028357684604A001",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870283576TH1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "345610",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AFFORDABLE",
"identifier": "1182764",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107008469102",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.