Individual provider Active NPI

Robert Lynn Orme, MD

  • Dermatology Physician
  • Draper, UT
National Provider Identifier
1174635403
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
1805761205 Issued in UT
Practice address
11760 South 700 East
Suite 210
Draper, UT 84020-6604
Phone
(801) 572-8043
Fax
(801) 576-4285
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 1805761205 UT Primary

Addresses

Primary practice location

11760 South 700 East
Suite 210
Draper, UT 84020-6604

Mailing address

11760 South 700 East
Suite 210
Draper, UT 84020-6604
Phone (801) 572-8043

Other identifiers 1

IdentifierTypeStateIssuer
000004695MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000454 UT Practitioner - Dermatology 5890860019 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1805761205UTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robert L Orme, MD PC Dermatology CurrentSince Aug 1, 1989 Accepting new patients
Affordable Dermatology Utah Dermatology Current Accepting new patients
F.a. Wrestler M.D., LTD Past Accepting new patients

Locations

11760 S 700 E
Ste 210
Draper, UT 84020
Phone (801) 572-8043

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00358
  • Direct secure messaging: robert.orme.1@20766.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1174635403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SOUTH 700 EAST",
            "address_2": "SUITE 210",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-572-8043",
            "fax_number": "801-576-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SOUTH 700 EAST",
            "address_2": "SUITE 210",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-572-8043",
            "fax_number": "801-576-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORME",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "1805761205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004695",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.