Organization Active NPI

Lone Peak Medical Associates PLLC

  • Family Medicine Physician
  • Draper, UT
National Provider Identifier
1235526088
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LONE PEAK MEDICAL ASSOCIATES PLLC
Practice address
14768 S Dryburg CV
Draper, UT 84020-5673
Phone
(801) 558-5126
Fax
(801) 206-3823
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Thomas R Christensen, MD
Title
MD/Owner
Phone
(801) 558-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

14768 S Dryburg CV
Draper, UT 84020-5673

Mailing address

14768 S Dryburg CV
Draper, UT 84020-5673
Phone (801) 558-5126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1235526088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14768 S DRYBURG CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205673",
            "telephone_number": "801-558-5126",
            "fax_number": "801-206-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14768 S DRYBURG CV",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205673",
            "telephone_number": "801-558-5126",
            "fax_number": "801-206-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "801-558-5126",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.