Mountainstar Cardiovascular Services LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC

Practice address

698 W 800 N
Suite #210
Orem, UT 84057-3658

Phone

(801) 714-6412

Fax

(801) 714-6413

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirt L. Peterson

Title

Administrator

Phone

(801) 743-4750

Specialties & licenses 1

Addresses

Tax ID family

Mountainstar Cardiovascular Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountainstar Cardiovascular Services LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ogden, UT
  • NPI 1639350705
  NPD tax ID

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1093996167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 W 800 N",
            "address_2": "SUITE #210",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573658",
            "telephone_number": "801-714-6412",
            "fax_number": "801-714-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 W 800 N",
            "address_2": "SUITE #210",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573658",
            "telephone_number": "801-714-6412",
            "fax_number": "801-714-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KIRT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-743-4750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Retirement, Inc.
• Mountain View Retirement, Inc.
• Mountainland Association of Government
• Mountainland Association of Governments Dept. of Aging & Family SVCS.
• Mountainland Association of Governments Dept. of Aging & Family SVCS.
• Mountainstar Intensivist Services LLC
• Christopher Mouritsen
• Mary Ann Mowbray, NP
• Rachel Mower
• Lindsay Moyer

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Orem, UT
• Providers in Orem, UT by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.