Individual provider Active NPI

Jack Dunyon Stringham II, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
National Provider Identifier
1235496357
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
107751221205 Issued in UT
Practice address
1055 N 300 W Ste 500
Provo, UT 84604-3312
Phone
(801) 357-7704
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME127417 FL
Ophthalmology Physician 207W00000X 10775122-1205 UT
Student in an Organized Health Care Education/Training Program 390200000X
Retina Specialist (Ophthalmology) Physician 207WX0107X 107751221205 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 500
Provo, UT 84604-3312

Mailing address

1055 N 300 W Ste 500
Provo, UT 84604-3312
Phone (801) 357-7704

Other practice location 1

11820 S State St Ste 320
Draper, UT 84020-7170
Phone (385) 237-3200

Other practice location 2

5171 S Cottonwood St Ste 700
Murray, UT 84107-5717
Phone (801) 892-8200

Other practice location 3

755 S 1040 W
Payson, UT 84651-4643
Phone (801) 406-1075

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstringham@rvsu.intellechartdirect.net

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
I20180518000845 UT Practitioner - Ophthalmology 1153618046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina and Vitreous Surgeons of Utah LLCGroup PAC ID 7113080169, 4 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 700
Murray, UT 84107-5717
Phone (801) 892-8200

54 E 100
Price, UT 84501-2404
Phone (435) 637-2414

755 S 1040
Payson, UT 84651-4643
Phone (801) 406-1075

90 E Ctr St
Richfield, UT 84701-2528
Phone (435) 896-5671

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
107751221205UTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Retina Consultants Ophthalmology CurrentSince Feb 1, 2021 Accepting new patients
Retina and Vitreous Surgeons of Utah, LLC Ophthalmology CurrentSince Jul 1, 2018 Accepting new patients
University of Miami Past Accepting new patients

Locations

70 E 200 N
Ste 2
Cedar City, UT 84720
Phone (435) 465-2230

1811 W Royal Hunte Dr
Cedar City, UT 84720
Phone (435) 586-1131

11820 S State St
Ste 320
Draper, UT 84020
Phone (385) 237-3200

5171 S Cottonwood St
Ste 700
Murray, UT 84107
Phone (801) 892-8200

755 S 1040 W
Payson, UT 84651
Phone (801) 406-1075

54 E 100 N
Price, UT 84501
Phone (435) 437-2414

1055 N 300 W
Ste 210
Provo, UT 84604
Phone (801) 357-0280

1055 N 300 W
Ste 500
Provo, UT 84604
Phone (801) 357-7291

1034 N 500 W
Provo, UT 84604
Phone (801) 362-4119

90 E Center St
Richfield, UT 84701
Phone (435) 567-7653

120 E 200 N
Richfield, UT 84701
Phone (435) 896-2020

165 W 200 N
Roosevelt, UT 84066
Phone (435) 722-2981

4400 S 700 E
Ste 200
Salt Lake Cty, UT 84107
Phone (801) 264-4444

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.

Hospital & facility affiliations 4

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1235496357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 500",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043312",
            "telephone_number": "801-357-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 500",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043312",
            "telephone_number": "801-357-7704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11820 S State St Ste 320",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840207170",
            "country_code": "US",
            "telephone_number": "385-237-3200",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5171 S Cottonwood St Ste 700",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841075717",
            "country_code": "US",
            "telephone_number": "801-892-8200",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 S 1040 W",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "UT",
            "postal_code": "846514643",
            "country_code": "US",
            "telephone_number": "801-406-1075",
            "fax_number": "801-357-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRINGHAM",
        "first_name": "JACK",
        "middle_name": "DUNYON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME127417",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "UT",
            "license": "10775122-1205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "107751221205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstringham@rvsu.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1055 N 300 W Ste 210",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.