NPIMap

Organization Active NPI

Gateway Aesthetic Institute & Laser Center

  • Rural Acute Care Hospital
  • Salt Lake City, UT
National Provider Identifier
1124298203
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
5216196-8905 Issued in UT
Legal business name
GATEWAY AESTHETIC INSTITUTE & LASER CENTER
Practice address
440 W 200 S
Suite 250
Salt Lake City, UT 84101-1345
Phone
(801) 595-1600
Fax
(801) 364-0423
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Nancy J Samolitis, MD
Title
Board Certified Dermatologist
Phone
(801) 595-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 5216196-8905 UT Primary

Addresses

Primary practice location

440 W 200 S
Suite 250
Salt Lake City, UT 84101-1345

Mailing address

440 W 200 S
Suite 250
Salt Lake City, UT 84101-1345
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.

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1124298203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W 200 S",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011345",
            "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",
            "address_2": "SUITE 250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011345",
            "telephone_number": "801-595-1600",
            "fax_number": "801-364-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AESTHETIC INSTITUTE & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SAMOLITIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BOARD CERTIFIED DERMATOLOGIST",
        "authorized_official_telephone_number": "801-595-1600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "UT",
            "license": "5216196-8905",
            "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 Mar 5, 2008; 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.