Organization Active NPI

Stephen L Donaldson, M.D. P.C.

  • Ophthalmology Physician
  • Provo, UT
National Provider Identifier
1184937617
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1800901205 Issued in UT
Legal business name
STEPHEN L DONALDSON, M.D. P.C.
Practice address
1275 N University Ave Ste 10
Provo, UT 84604-2679
Phone
(801) 375-6565
Fax
(801) 373-9750
NPI assigned
Jul 26, 2010
Organization subpart
Yes
Parent organization
STEPHEN L DONALDSON, M.D. P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Stephen Donaldson, M.D.NPI 1578552634
Title
M.D.
Phone
(801) 375-6565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1800901205 UT Primary

Addresses

Primary practice location

1275 N University Ave Ste 10
Provo, UT 84604-2679

Mailing address

1275 N University Ave Ste 10
Provo, UT 84604-2679
Phone (801) 375-6565

National Provider Directory

National Provider Directory
Part of
Stephen Donaldson MD MD PC

Locations

1275 N University Ave
#10
Provo, UT 84604
Phone (801) 375-6565

1275 N University Ave
Ste 10
Provo, UT 84604
Phone (801) 375-6565

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1184937617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 N UNIVERSITY AVE STE 10",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042679",
            "telephone_number": "801-375-6565",
            "fax_number": "801-373-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N UNIVERSITY AVE STE 10",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042679",
            "telephone_number": "801-375-6565",
            "fax_number": "801-373-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L DONALDSON, M.D. P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEPHEN L DONALDSON, M.D. P.C.",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "801-375-6565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "1800901205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.