Sarah Scoville, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4524 Issued in AZ

Practice address

1685 W 2200 S
Salt Lake City, UT 84119-1456

Phone

(801) 972-8850

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment
• Ihc Health Services Inc

  • Maternal & Fetal Medicine Physician
  • Riverton, UT
  • NPI 1316536261
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1124352893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5432 E SOUTHERN AVE",
            "address_2": "101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062772",
            "telephone_number": "801-391-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 W 2200 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841191456",
            "telephone_number": "801-972-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5432 E Southern Ave",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062772",
            "country_code": "US",
            "telephone_number": "480-325-3275",
            "fax_number": "480-981-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOVILLE",
        "first_name": "SARAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarah.scoville@direct.imail.org",
            "affiliation": "N",
            "address_1": "1685 W 2200 S",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841191456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debbie L Scovill, LCSW
• Samantha Rai Scovill
• Zakary Alan Scovill
• Barbara Ann Scoville, LCSW
• Marcia A. Scoville, C.N.M.
• Stephen Lamarr Scoville, APRN
• Scptr Wellness L.L.C.
• Kyle James Scranton
• Elise Scribner
• SD Sunnyside LLC

• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.