Organization Active NPI

J Barry Robb MD Professional Corporation

  • Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1235468471
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3870 Issued in UT
Legal business name
J BARRY ROBB MD PROFESSIONAL CORPORATION
Practice address
1220 E 3900 S Ste 3F
Salt Lake City, UT 84124-1326
Phone
(801) 268-2531
Fax
(801) 263-2922
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
James Barry Robb, M.D.
Title
President
Phone
(801) 268-2531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 3870 UT Primary

Addresses

Primary practice location

1220 E 3900 S Ste 3F
Salt Lake City, UT 84124-1326

Mailing address

1220 E 3900 S Ste 3F
Salt Lake City, UT 84124-1326
Phone (801) 268-2531

Other identifiers 1

IdentifierTypeStateIssuer
528524146000MedicaidUT

National Provider Directory

National Provider Directory

Locations

1250 E 3900 S
Ste 330
Salt Lake Cty, UT 84124
Phone (801) 268-2531

1220 E 3900 S
Ste 3F
Slc, UT 84124
Phone (801) 262-3354

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1235468471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 3F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241326",
            "telephone_number": "801-268-2531",
            "fax_number": "801-263-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S STE 3F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241326",
            "telephone_number": "801-268-2531",
            "fax_number": "801-263-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J BARRY ROBB MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "ROBB",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-268-2531",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "3870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528524146000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.