NPIMap

Organization Active NPI

Phase II Center for Womens Health

  • Gynecology Physician
  • Salt Lake City, UT
National Provider Identifier
1134313323
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PHASE II CENTER FOR WOMENS HEALTH
Practice address
3970 S 700 E Ste 14
Salt Lake City, UT 84107-2585
Phone
(385) 257-6284
Fax
(801) 281-9681
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Claudia Hill
Title
Practice Manager
Phone
(801) 722-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

3970 S 700 E Ste 14
Salt Lake City, UT 84107-2585

Mailing address

3970 S 700 E Ste 14
Salt Lake City, UT 84107-2585
Phone (385) 257-6284

Other practice location 1

348 E 4500 S
Suite 200
Salt Lake City, UT 84107-3906
Phone (801) 262-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040117000151 UT Part B Supplier - Clinic/Group Practice 2163323692 Receives reassigned benefits from 4 practitioners
Practice locations: Murray, UT

National Provider Directory

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": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1134313323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 S 700 E STE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072585",
            "telephone_number": "385-257-6284",
            "fax_number": "801-281-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 S 700 E STE 14",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841072585",
            "telephone_number": "385-257-6284",
            "fax_number": "801-281-9681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "348 E 4500 S",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841073906",
            "country_code": "US",
            "telephone_number": "801-262-9800",
            "fax_number": "801-262-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHASE II CENTER FOR WOMENS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "801-722-4450"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "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 Oct 3, 2022; 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.