Ward MD LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

327556-1205 Issued in UT

Legal business name

WARD MD LLC

Practice address

6322 S 3000 E
Suite 170
Salt Lake City, UT 84121-6922

Phone

(801) 739-3395

NPI assigned

Jun 22, 2016

Organization subpart

No

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

Authorized official

Name

Preston Daniel Ward, M.D.NPI 1649396185

Title

Owner/Surgeon

Phone

(801) 739-3395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preston Daniel Ward, MD

  • Facial Plastic Surgery Physician
  • Salt Lake City, UT
  • NPI 1649396185
  Medicare reassignment NPD Authorized official
• Jeremy Robert Chidester, M.D.

  • Plastic Surgery Physician
  • South Jordan, UT
  • NPI 1194015693
  Medicare reassignment NPD
• Bethany R Powers, M.D.

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Salt Lake City, UT
  • NPI 1053774455
  Medicare reassignment NPD
• Ersilia Anghel, MD

  • Plastic Surgery Physician
  • Vancouver, WA
  • NPI 1619409968

  UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1114378023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 E DEER RIDGE PL",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840926553",
            "telephone_number": "801-739-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6322 S 3000 E",
            "address_2": "SUITE 170",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841216922",
            "telephone_number": "801-739-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "801-739-3395",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "UT",
            "license": "327556-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis John Wapner, M.D.
• Kayleigh Dawn Warath
• Warby Parker Inc.
• Ashley Warby
• Ward Eye Clinic
• Adam Ward
• Alison Frizell Ward, M.D.
• Brian Edwin Ward, PHD
• Brittany Leigh Ward
• Camden Joseph Ward, MD

• Facial Plastic Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Facial Plastic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.