Ihc Health Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4402014 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Practice address

435 N Main St
Kaysville, UT 84037

Phone

(801) 498-6000

Fax

(801) 498-6085

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 1

Addresses

Other names 1

• Kaysville Creekside Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 11

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

• Valerie R Bentley, PHD

  • Psychologist
  • Ogden, UT
  • NPI 1912928730
  NPD
• Nathan Robert Brewster, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • American Fork, UT
  • NPI 1114453925
  NPD
• Brooke Ann Huff, AG-ACNP

  • Nurse Practitioner
  • Ogden, UT
  • NPI 1194692780
  NPD
• James Nguyen, PA

  • Physician Assistant
  • American Fork, UT
  • NPI 1134897135
  NPD
• Alexander Olsen

  • Family Medicine Physician
  • South Ogden, UT
  • NPI 1891354080
  NPD
• Kevin Gregory Pollock, N.P.

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1942679196
  NPD
• Easton Roberts

  • Acute Care Nurse Practitioner
  • Ogden, UT
  • NPI 1861206229
  NPD
• Rustin Ronald Ross, M.D.

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1164631461
  NPD
• Brenton Waters, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1619402732
  NPD
• Jennifer Anne Wilke, MS, RD, CED-S, CSSD

  • Registered Dietitian
  • Murray, UT
  • NPI 1700188653
  NPD
• Brinton S Woods, D.O.

  • Family Medicine Physician
  • Roy, UT
  • NPI 1336574755
  NPD (past)

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1154747087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-498-6000",
            "fax_number": "801-498-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 N MAIN ST",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "84037",
            "telephone_number": "801-498-6000",
            "fax_number": "801-498-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "4402014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaysville Creekside Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenny Howe, MS, CMHC EXTERN
• Jordan Dean Hunger
• Alissa Hyde, LMT
• I Smile Implant Centers PLLC
• Febee Alan Icard
• Ihc Health Services Inc
• Integrative Amd Holistic Center, LLC
• Ismile at Kaysville LLC
• Ismile at SLC
• Ismile Implant and Surgical Centera

• Family Medicine Physician in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.