Active NPI
Uinta Ear, Nose & Throat, PC
- Otolaryngology Physician
- Evanston, WY
National Provider Identifier
1225255094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 4309A
- Legal business name
- UINTA EAR, NOSE & THROAT, PC
- Practice address
- 196 Arrowhead Dr
Suite 5
Evanston, WY 82930-8752 - Phone
- (307) 783-8364
- NPI assigned
- Apr 20, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Harbrecht
- Title
- President
- Phone
- (307) 783-8364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 4309A | WY | Primary |
Addresses
Primary practice location
196 Arrowhead Dr
Suite 5
Evanston, WY 82930-8752
Mailing address
196 Arrowhead Dr
Suite 5
Evanston, WY 82930-8752
Phone (307) 783-8364
National Provider Directory
National Provider DirectoryLocations
425 Medical Dr
Ste 107
Bountiful, UT 84010
Phone (801) 292-8303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Bountiful, UT
- NPI 1972605012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1225255094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR",
"address_2": "SUITE 5",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-783-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 ARROWHEAD DR",
"address_2": "SUITE 5",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829308752",
"telephone_number": "307-783-8364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UINTA EAR, NOSE & THROAT, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARBRECHT",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-783-8364"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WY",
"license": "4309A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.