Active NPI
Trinity Healthcare Ut, PC
Doing business as Trinity Healthcare
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1104551043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- TRINITY HEALTHCARE UT, PC
- Doing business as
- Trinity Healthcare
Trinity Healthcare UT - Practice address
- 3720 W 800 S
Salt Lake City, UT 84104-4565 - Phone
- (801) 515-7266
- NPI assigned
- Jul 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Abraham, MD
- Title
- Owner
- Phone
- (417) 799-8901
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3720 W 800 S
Salt Lake City, UT 84104-4565
Mailing address
2740 N Mayfair Ave
Springfield, MO 65803-5084
Phone (417) 799-8901
Other names 2
- Trinity Healthcare
- Trinity Healthcare UT
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D2265637 | Trinity Healthcare | Certificate of waiver | Jul 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
3720 W 800 S
Salt Lake City, UT 84104
Phone (801) 515-7264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658448000000",
"number": "1104551043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 N MAYFAIR AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658035084",
"telephone_number": "417-799-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3720 W 800 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841044565",
"telephone_number": "801-515-7266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY HEALTHCARE UT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-22",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A",
"authorized_official_last_name": "ABRAHAM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "417-799-8901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Trinity Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Trinity Healthcare UT",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.