NPIMap

Individual provider Active NPI

Jan-Erik Schow, MD

  • Adult Medicine Physician
  • Garland, UT
National Provider Identifier
1215922919
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
2892981205 Issued in UT
Practice address
300 W 1400 S
Garland, UT 84312-9393
Phone
(435) 257-2469
Fax
(435) 257-2434
NPI assigned
Sep 19, 2005
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 2892981205 UT Primary

Addresses

Primary practice location

300 W 1400 S
Garland, UT 84312-9393

Mailing address

300 W 1400 S
Garland, UT 84312-9393
Phone (435) 257-2469

Other identifiers 2

IdentifierTypeStateIssuer
003026600MedicaidID
D1017MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001082 UT Practitioner - Family Practice 7810922531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bear River Medical Arts PCGroup PAC ID 5890727887, 3 clinicians

Practice addresses (Care Compare)

300 W 1400
Garland, UT 84312-9100
Phone (435) 257-2469

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2892981205UTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas C. Walker D.O., P.C. Family Medicine CurrentSince Sep 15, 2003 Accepting new patients

Locations

300 W 1400 S
Garland, UT 84312
Phone (435) 257-2469

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: jschow@direct.meditouchehr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1215922919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 1400 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129393",
            "telephone_number": "435-257-2469",
            "fax_number": "435-257-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 1400 S",
            "city": "GARLAND",
            "state": "UT",
            "postal_code": "843129393",
            "telephone_number": "435-257-2469",
            "fax_number": "435-257-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOW",
        "first_name": "JAN-ERIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "UT",
            "license": "2892981205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003026600",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1017",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, UT

Sources for this page

Verify at the official NPI Registry.