Amir Haskic

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

322409-1204 Issued in UT

Practice address

2870 E 3300 S
Salt Lake City, UT 84109-2821

Phone

(801) 432-8626

NPI assigned

Aug 28, 2020

Last updated

Aug 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Utah Zion Healing

  • Adult Mental Health Clinic/Center
  • Salt Lake City, UT
  • NPI 1568084739
  NPD Authorized official
• Olympus Healing Clinic

  • Health Service Clinic/Center
  • Salt Lake City, UT
  • NPI 1033722087
  Authorized official Same address or phone

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1174136113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092821",
            "telephone_number": "801-432-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092821",
            "telephone_number": "801-432-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASKIC",
        "first_name": "AMIR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "UT",
            "license": "322409-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward George Hashimoto, M.D.
• Susan Hashimoto, CNA
• Zachary James Hashimoto
• Janice Elaine Haskell, SSW
• Kimberly D Hasketh
• Karen Haskie
• Megan Haskins
• Colette Meek Haslam, LCSW
• Nathan Haslam, CMHC
• Tara Haslam

• Addiction Medicine (Family Medicine) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction Medicine (Family Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.