MSK Enterprise LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

3243504101 Issued in UT

Legal business name

MSK ENTERPRISE LLC

Practice address

777 E 4500 S
Suite 110
Salt Lake City, UT 84107-3067

Phone

(801) 268-6497

Fax

(801) 268-1376

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Faye Mitsunaga, M.A.NPI 1316283815

Title

Audiologist

Phone

(801) 268-6497

Specialties & licenses 1

Addresses

Other names 1

• Mountain West Hearing Center Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 2

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

• Faye Mitsunaga, M.A., CCC-A

  • Audiologist
  • Salt Lake City, UT
  • NPI 1316283815
  Medicare reassignment Authorized official
• Karyn K Hodge, AUD

  • Audiologist
  • Murray, UT
  • NPI 1043739667
  Medicare reassignment

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1245536101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 4500 S",
            "address_2": "SUITE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073067",
            "telephone_number": "801-268-6497",
            "fax_number": "801-268-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 4500 S",
            "address_2": "SUITE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073067",
            "telephone_number": "801-268-6497",
            "fax_number": "801-268-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "MITSUNAGA",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "801-268-6497",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "UT",
            "license": "3243504101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain West Hearing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michaela Mozley
• Allyson Nicole Moznett
• Kiese Mpongo, MD
• Mr Health, Inc.
• Smriti Mridha
• Mt Ogden Eye Center LLC
• Mt Olympus Anesthesia
• Mt. Olympus Clinic of Chiropractic Corporation
• Mt. Olympus Obstetrics and Gynecology
• Heidi Mathie Mucha, PH.D

• Hearing and Speech Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Hearing and Speech Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.