Organization Active NPI

Eldad Vered MD PC

  • Obstetrics & Gynecology Physician
  • Tooele, UT
National Provider Identifier
1093067852
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
69342991205 Issued in UT
Legal business name
ELDAD VERED MD PC
Practice address
2376 N 400 E
Suite 204
Tooele, UT 84074-3413
Phone
(435) 882-1433
Fax
(435) 882-1431
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Eldad Vered, M.D.NPI 1396815023
Title
Owner
Phone
(435) 882-1433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 69342991205 UT Primary

Addresses

Primary practice location

2376 N 400 E
Suite 204
Tooele, UT 84074-3413

Mailing address

2376 N 400 E
Suite 204
Tooele, UT 84074-3413
Phone (435) 882-1433

National Provider Directory

National Provider Directory

Locations

2376 N 400 E
Ste 204
Tooele, UT 84074
Phone (435) 882-0711

Practitioners & affiliated clinicians

Practitioners 1

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": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1093067852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 N 400 E",
            "address_2": "SUITE 204",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-882-1433",
            "fax_number": "435-882-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 N 400 E",
            "address_2": "SUITE 204",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-882-1433",
            "fax_number": "435-882-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDAD VERED MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "VERED",
        "authorized_official_first_name": "ELDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-882-1433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "69342991205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.