Individual provider Active NPI

Stephen Loren Barlow, MD

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1235322470
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1650151205 Issued in UT
Practice address
4646 West Lake Park Blvd
Salt Lake City, UT 84120
Phone
(801) 442-6126
Fax
(801) 442-5183
NPI assigned
Aug 21, 2007
Last updated
Aug 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1650151205 UT Primary

Addresses

Primary practice location

4646 West Lake Park Blvd
Salt Lake City, UT 84120

Mailing address

4646 West Lake Park Blvd
Salt Lake City, UT 84120
Phone (801) 442-6126

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
I20150406001369 UT Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8022336973

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1650151205UTMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1235322470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 WEST LAKE PARK BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-442-6126",
            "fax_number": "801-442-5183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 WEST LAKE PARK BLVD",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-442-6126",
            "fax_number": "801-442-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARLOW",
        "first_name": "STEPHEN",
        "middle_name": "LOREN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "1650151205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.