NPIMap

Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as FMWJ Fam Med W Jor

  • Orthopaedic Foot and Ankle Surgery Physician
  • Eagle Mountain, UT
National Provider Identifier
1255033205
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
FMWJ Fam Med W Jor
Practice address
3943 E Pony Express Pkwy Ste 110
Eagle Mountain, UT 84005-5542
Phone
(385) 334-3668
Fax
(385) 222-3899
NPI assigned
Mar 21, 2023
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mrs. Angela J Skinner
Title
Administrator, Oma
Phone
(303) 673-7175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU Primary

Addresses

Primary practice location

3943 E Pony Express Pkwy Ste 110
Eagle Mountain, UT 84005-5542

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names 2

  • FMWJ FAM MED W JOR Doing business as
  • Foot & Ankle Eagle Mountain Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

National Provider Directory

National Provider Directory
Tax ID family
Intermountain Neuro319 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1255033205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3943 E PONY EXPRESS PKWY STE 110",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840055542",
            "telephone_number": "385-334-3668",
            "fax_number": "385-222-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OMA",
        "authorized_official_telephone_number": "303-673-7175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FMWJ FAM MED W JOR",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Foot & Ankle Eagle Mountain",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.