Internal Med- Interventional Cardiology- Department of University of U

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

INTERNAL MED- INTERVENTIONAL CARDIOLOGY- DEPARTMENT OF UNIVERSITY OF U

Practice address

50 N Medical Dr
Salt Lake City, UT 84132-0001

Phone

(801) 585-0434

Fax

(801) 581-7735

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roger A. Freedman, MD

Title

Department Chair

Phone

(801) 585-0434

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1184979460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-0434",
            "fax_number": "801-581-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-0434",
            "fax_number": "801-581-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MED- INTERVENTIONAL CARDIOLOGY- DEPARTMENT OF UNIVERSITY OF U",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "801-585-0434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Stroke Center, Inc.
• Intermountian Lipid Center
• Internal Med- Cardiology Advanced Heart Failure- Department of Unive
• Internal Med- Cardiology- Ep- Dept of University of Utah
• Internal Med- Hematology- Hematologic Department of University of Utah
• Internal Med-Micu/Department of University of Utah
• Internal Medicine-Hepatology- Department of University of Utah
• Intero LLC
• Intrafilrx LLC
• Intraoperative Monitoring Assoc

• Cardiovascular Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Cardiovascular Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.