Active NPI
Robert G. Naylor, M.D.
- Surgery Physician
- SLC, UT
National Provider Identifier
1215047287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 151550-1205
- Practice address
- 1434 E. 4500 S.
#200
SLC, UT 84117 - Phone
- (801) 263-8511
- Fax
- (801) 266-7243
- NPI assigned
- Aug 30, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 151550-1205 | UT | Primary |
Addresses
Primary practice location
1434 E. 4500 S.
#200
SLC, UT 84117
Mailing address
1434 E. 4500 S.
#200
SLC, UT 84117
Phone (801) 263-8511
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1215047287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 E. 4500 S.",
"address_2": "#200",
"city": "SLC",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-263-8511",
"fax_number": "801-266-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1434 E. 4500 S.",
"address_2": "#200",
"city": "SLC",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-263-8511",
"fax_number": "801-266-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "ROBERT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "UT",
"license": "151550-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in SLC, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.