Active NPI
Stephen D. Santora, M.D.
- Orthopaedic Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1194780221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 173416-1205
- Practice address
- Fairfax Road at Virginia Street
Shriners Hospitals for Children
Salt Lake City, UT 84103-4399 - Phone
- (801) 536-3600
- Fax
- (801) 536-3686
- NPI assigned
- Apr 20, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 173416-1205 | UT | Primary |
Addresses
Primary practice location
Fairfax Road at Virginia Street
Shriners Hospitals for Children
Salt Lake City, UT 84103-4399
Mailing address
Shriners Hospitals for Children Salt
Dept 5034
Los Angeles, CA 90084-0001
Phone (813) 281-8478
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91082008 | Medicaid | CO |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Orthopedic Associates | Past | Accepting new patients | |
| Uou Pediatric Orthopedics | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
-
- Pediatric Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1073620100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1194780221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SHRINERS HOSPITALS FOR CHILDREN SALT",
"address_2": "DEPT 5034",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900840001",
"telephone_number": "813-281-8478",
"fax_number": "813-281-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAIRFAX ROAD AT VIRGINIA STREET",
"address_2": "SHRINERS HOSPITALS FOR CHILDREN",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841034399",
"telephone_number": "801-536-3600",
"fax_number": "801-536-3686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORA",
"first_name": "STEPHEN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "173416-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91082008",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.