Southwest Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1756991205 Issued in UT

Legal business name

SOUTHWEST FAMILY MEDICINE, LLC

Practice address

1575 W 7000 S
West Jordan, UT 84084-3431

Phone

(801) 569-9133

Fax

(801) 569-9103

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Randall L Watson, MD

Title

MD / Owner

Phone

(801) 569-9133

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 1

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

• Joyce Pritchard, M.D.

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1407098122
  NPD

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1174707517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 W 7000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843431",
            "telephone_number": "801-569-9133",
            "fax_number": "801-569-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W 7000 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843431",
            "telephone_number": "801-569-9133",
            "fax_number": "801-569-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD / OWNER",
        "authorized_official_telephone_number": "801-569-9133",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1756991205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI REBECCA LEVINE, MD",
            "identifier": "1316986136",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "000058107",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  KATIE JULIEN, MD",
            "identifier": "1386691251",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952341000",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP / CORP NPI",
            "identifier": "1174707517",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE #  JULIEN",
            "identifier": "000057709",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Valley Ear Nose and Throat Associates, PLLC
• South Valley Health Center, LLC
• South Valley Sanctuary
• South Valley Women'S Imaging, LLC
• Southwest Children'S Clinic
• Southwest Pain Relief LLC
• Isabel Soward
• Jared P Spackman, PA-C
• Tammie R Sparks, LMT
• Karley Spear

• 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 Oct 1, 2008; 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.