Ihc Health Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14638 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Practice address

2655 W 9000 S
West Jordan, UT 84088-8542

Phone

(801) 256-6343

NPI assigned

Feb 23, 2007

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

• West Jordan Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 9

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

• Charlene Holbrook Blood, APRN

  • Family Nurse Practitioner
  • Ogden, UT
  • NPI 1376675231
  NPD
• Maurine M. Cobabe, M.D.

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1265877096
  NPD
• Nicholas Blaine Edman, AGACNP

  • Nurse Practitioner
  • Murray, UT
  • NPI 1588498943
  NPD
• Patrick Hewitt, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1750360053
  NPD
• Prafulla Martin-Garg, MD, FAAP

  • Pediatrics Physician
  • Logan, UT
  • NPI 1437168721
  NPD
• Daniel C Rapp, MD

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1265528723
  NPD
• Allyson Marie Servoss, M.D.

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1124282504
  NPD
• Ryoma Tanaka, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Salt Lake City, UT
  • NPI 1922294214
  NPD
• Tarek Ammar, MD

  • Gastroenterology Physician
  • Las Vegas, NV
  • NPI 1649478314
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1164557641",
    "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": "801-256-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W 9000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840888542",
            "telephone_number": "801-256-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-07-31",
        "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": "14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Jordan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Hurd
• Lindsay Hurdman
• Brynlee Hutchings
• Adam Mickael Hutchinson, M.D.
• Beau Hutchison
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services, Inc.
• Everett Ika

• Family Medicine Physician in West Jordan, UT
• Providers in West Jordan, 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 Jul 31, 2008; 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.