NPIMap

Organization Active NPI

U of U Plastic Surgery Associates

  • Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1083897185
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5034170-4405 Issued in UT
Legal business name
U OF U PLASTIC SURGERY ASSOCIATES
Practice address
30 N 1900 E
RM 3B400
Salt Lake City, UT 84132-0006
Phone
(801) 581-7073
Fax
(801) 581-5794
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Mr. Jeff Ware
Title
Billing Manager
Phone
(801) 581-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 5034170-4405 UT Primary

Addresses

Primary practice location

30 N 1900 E
RM 3B400
Salt Lake City, UT 84132-0006

Mailing address

PO Box 58049
Salt Lake City, UT 84158-0049
Phone (801) 581-7073

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1083897185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58049",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841580049",
            "telephone_number": "801-581-7073",
            "fax_number": "801-581-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "RM 3B400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320006",
            "telephone_number": "801-581-7073",
            "fax_number": "801-581-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U OF U PLASTIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-581-7073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "5034170-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.