Jordan Valley Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

JORDAN VALLEY PEDIATRICS

Practice address

1561 W 7000 S Ste 202
West Jordan, UT 84084-3556

Phone

(801) 569-8344

Fax

(801) 569-9150

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Tazeem A Aizad, MDNPI 1588620413

Title

President

Phone

(801) 557-7546

Specialties & licenses 1

Addresses

Other names 1

• Jordan Valley Pediatrics Doing business as

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16154/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Tazeem A Aizad, M.D;

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1588620413
  NPD Authorized official

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1194580852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S STE 202",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-569-8344",
            "fax_number": "801-569-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 W 7000 S STE 202",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840843556",
            "telephone_number": "801-569-8344",
            "fax_number": "801-569-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "AIZAD",
        "authorized_official_first_name": "TAZEEM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-557-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jordan Valley Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Valley Dental
• Jordan Valley Dermatology Center LLC
• Jordan Valley Family Health
• Jordan Valley Medical Center LP
• Jordan Valley Medical Center LP
• Jordan Valley Physical Therapy LLC
• Jordan Vision Clinic PC
• Jordan West Family Counseling
• Jordan West Family Counseling
• Jordan West Family Counseling Inc

• Pediatrics Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.