Active NPI
Gordon Lynn Day, PA-C
- Physician Assistant
- Sandy, UT
National Provider Identifier
1174797757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 142502-1206
- Practice address
- 9665 S 1835 E
Sandy, UT 84092-3072 - Phone
- (801) 879-3331
- Fax
- (801) 576-4285
- NPI assigned
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 142502-1206 | UT | Primary |
Addresses
Primary practice location
9665 S 1835 E
Sandy, UT 84092-3072
Mailing address
9665 S 1835 E
Sandy, UT 84092-3072
Phone (801) 879-3331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142502-1206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1174797757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9665 S 1835 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840923072",
"telephone_number": "801-879-3331",
"fax_number": "801-576-4285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9665 S 1835 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840923072",
"telephone_number": "801-879-3331",
"fax_number": "801-576-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAY",
"first_name": "GORDON",
"middle_name": "LYNN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-15",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "142502-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.