Ihc Health Services Inc

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

2006-32348 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Sports Medicine Specialists - Bountiful

Practice address

280 N Main St
Bountiful, UT 84010-6136

Phone

(801) 298-2495

NPI assigned

Mar 7, 2007

Last updated

Aug 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 1

Addresses

Other names 1

• Sports Medicine Specialists - Bountiful Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Baker, PA-C

  • Physician Assistant
  • Sandy, UT
  • NPI 1316957863
  NPD
• Alexa Rae Fishburn, DO

  • Family Medicine Physician
  • Sandy, UT
  • NPI 1508569179
  NPD
• David Matthew Graff, D.P.M

  • Podiatrist
  • Ogden, UT
  • NPI 1144635038
  NPD
• J Cameron Kesler, DO

  • Hospitalist Physician
  • American Fork, UT
  • NPI 1225189020
  NPD
• Jason A. Kovacevic, M.D.

  • Pulmonary Disease Physician
  • Ogden, UT
  • NPI 1275952061
  NPD
• Matthew David McKee, DO

  • Sleep Medicine (Family Medicine) Physician
  • Roosevelt, UT
  • NPI 1891149621
  NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1114057924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-990-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-298-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "UT",
            "license": "2006-32348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine Specialists - Bountiful",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Hurst
• Natalee Hutchins
• Kristen Hyde
• Marie Evelyn Hyde
• Marlene Hyndman, MD
• Ihc Health Services Inc (Bountiful Cosmetic Dermatology)
• Ihc Health Services Inc (Ihc Health Center Pharmacy Bountiful)
• Ihc Health Services Inc (Bountiful Clinic)
• Ihc Health Services Inc (Body Renaissance Hair Restoration)
• Ihc Health Services Inc (Bountiful WorkMed)

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.