Individual provider Active NPI

Kim T Heaton, MD

  • Emergency Medicine Physician
  • Taylorsville, UT
National Provider Identifier
1225051089
Registry record updated Oct 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1702211205 Issued in UT
Practice address
3845 W 4700 S
Taylorsville, UT 84118-3454
Phone
(801) 840-2020
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 1702211205 UT Primary

Addresses

Primary practice location

3845 W 4700 S
Taylorsville, UT 84118-3454

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 840-2020

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000723 UT Practitioner - Family PracticePractitioner - General Practice 6800877291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
University of Utah School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7750

2000 S 900
Salt Lake City, UT 84105-3208
Phone (801) 464-7788

2655 W 9000
West Jordan, UT 84088-8542
Phone (801) 568-9933

3845 W 4700
Taylorsville, UT 84129-3454
Phone (801) 840-8444

389 S 900
Salt Lake City, UT 84102-2310
Phone (385) 282-2400

390 N Main St
Bountiful, UT 84010-6046
Phone (801) 776-4444

5373 W Lake Park Blvd
West Valley City, UT 84120-8208
Phone (801) 902-8080

6272 S Highland Dr
Murray, UT 84121-2126
Phone (801) 871-6300

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1702211205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Service Inc Family Medicine CurrentSince May 1, 2000 Accepting new patients
Ihc Health Services, Inc. CurrentSince May 1, 2000 Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

10968 N Alpine Hwy
Highland, UT 84003
Phone (801) 763-2900

75 N 2260 W
Hurricane, UT 84737
Phone (435) 635-6400

412 N 200 E
Logan, UT 84321
Phone (435) 713-2710

280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400

1975 N State St
Orem, UT 84057
Phone (801) 714-5000

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

9660 S 1300 E
Sandy, UT 84094
Phone (801) 314-2417

9493 S 700 E
Sandy, UT 84070
Phone (801) 270-4400

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

250 E Sr 73
Saratoga Springs, UT 84045
Phone (801) 766-4567

3934 S 2300 E
Slc, UT 84124
Phone (801) 270-4400

2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786

975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200

762 W 400 S
Springville, UT 84663
Phone (801) 429-1200

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

544 S 400 E
St George, UT 84770
Phone (435) 688-4000

2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192838400000",
    "number": "1225051089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-840-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 W 4700 S",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841183454",
            "telephone_number": "801-840-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "KIM",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "1702211205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorsville, UT

Sources for this page

Verify at the official NPI Registry.