Individual provider Active NPI

Desiree S Hammer, PA

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1215312640
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5801 S Fashion Blvd
Ste 180
Murray, UT 84107-6159
Phone
(801) 262-7246
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interventional Spine and Pain Management 13 clinicians
Advanced Spine Pain Specialists 8 clinicians

Practice addresses (Care Compare)

1276 Wall Ave
Suite 2
Ogden, UT 84404-5673
Phone (801) 262-7246

520 Medical Dr
Suite 220
Bountiful, UT 84010-8932
Phone (801) 299-6824

5801 S Fashion Blvd
Suite 180
Murray, UT 84107-8135
Phone (801) 262-7246

Hospital & facility affiliations

  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151026001518 UT Practitioner - Physician Assistant 2163731522 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Functional Medicine, LLC CurrentSince Apr 13, 2016 Accepting new patients
Interventional Spine & Pain Management CurrentSince Oct 5, 2015 Accepting new patients
Hofmann Arthritis Institute, PLLC PastSince Feb 5, 2019 Accepting new patients

Locations

458 N 500 W
Bountiful, UT 84010
Phone (801) 292-9355

274 N Main St
Logan, UT 84321
Phone (435) 213-9278

1276 Wall Ave
Ste 1
Ogden, UT 84404
Phone (801) 337-4000

1276 Wall Ave
Ste 2
Ogden, UT 84404
Phone (801) 781-0651

5801 S Fashion Blvd
Ste 180
Salt Lake City, UT 84107
Phone (801) 706-2100

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5801 S Fashion Blvd
Ste 180
Murray, UT 84107-6159

Mailing address

274 N Main St
Logan, UT 84321-3915
Phone (435) 753-1600

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2020.

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1215312640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 N MAIN ST",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213915",
            "telephone_number": "435-753-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 S FASHION BLVD",
            "address_2": "STE 180",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076159",
            "telephone_number": "801-262-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "DESIREE",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.