NPIMap

Organization Active NPI

Gateway Aestheetic Institute& Laser Center

  • Special Hospital
  • Salt Lake City, UT
National Provider Identifier
1124208343
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
158056-8905 Issued in UT
Legal business name
GATEWAY AESTHEETIC INSTITUTE& LASER CENTER
Practice address
440 W 200 S Ste 250
Salt Lake City, UT 84101-1462
Phone
(801) 595-1600
Fax
(801) 364-0423
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Mr. Mark B Taylor, M.D.NPI 1528409471
Title
Ceo/Physician
Phone
(801) 595-1600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 158056-8905 UT Primary

Addresses

Primary practice location

440 W 200 S Ste 250
Salt Lake City, UT 84101-1462

Mailing address

440 W 200 S Ste 250
Salt Lake City, UT 84101-1462
Phone (801) 595-1600

National Provider Directory

National Provider Directory
Tax ID family
Gateway Aestheetic Institute Laser Center2 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.

Locations

440 W 200 S
Ste 250
Salt Lake City, UT 84101
Phone (801) 595-1600

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1124208343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W 200 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011462",
            "telephone_number": "801-595-1600",
            "fax_number": "801-364-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W 200 S STE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011462",
            "telephone_number": "801-595-1600",
            "fax_number": "801-364-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AESTHEETIC INSTITUTE& LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "801-595-1600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "UT",
            "license": "158056-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 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.