Individual provider Active NPI

Simon Voitanik, M.D.

  • Specialist
  • Sandy, UT
National Provider Identifier
1093803843
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
276421-1205 Issued in UT
Practice address
8706 S 700 E
Suite 206
Sandy, UT 84070-1807
Phone
(801) 942-6000
Fax
(801) 748-4069
NPI assigned
Oct 10, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 276421-1205 UT Primary

Addresses

Primary practice location

8706 S 700 E
Suite 206
Sandy, UT 84070-1807

Mailing address

8706 S 700 E
Suite 206
Sandy, UT 84070-1807
Phone (801) 942-6000

Other identifiers 1

IdentifierTypeStateIssuer
000059665OtherUTMEDICARE ID-PIN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
276421-1205UTMDSpecialist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1093803843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8706 S 700 E",
            "address_2": "SUITE 206",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701807",
            "telephone_number": "801-942-6000",
            "fax_number": "801-748-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 S 700 E",
            "address_2": "SUITE 206",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701807",
            "telephone_number": "801-942-6000",
            "fax_number": "801-748-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOITANIK",
        "first_name": "SIMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "276421-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "000059665",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.