NPIMap

Organization Active NPI

Wasatch Urology Associates

  • Specialist
  • Salt Lake City, UT
National Provider Identifier
1265481980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1783141205 Issued in UT
Legal business name
WASATCH UROLOGY ASSOCIATES
Practice address
24 S 1100 E
Suite 301
Salt Lake City, UT 84102-1500
Phone
(801) 532-1244
Fax
(801) 532-7277
NPI assigned
May 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Christian Jensen, M.D.NPI 1538267547
Title
President/Owner
Phone
(801) 532-1244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1783141205 UT Primary

Addresses

Primary practice location

24 S 1100 E
Suite 301
Salt Lake City, UT 84102-1500

Mailing address

PO Box 58201
Salt Lake City, UT 84158-0201
Phone (801) 532-1244

Other identifiers 2

IdentifierTypeStateIssuer
529824158002MedicaidUT
3400017805OtherUTRAILROAD MEDICARE PROVIDE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265481980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58201",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841580201",
            "telephone_number": "801-532-1244",
            "fax_number": "801-532-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E",
            "address_2": "SUITE 301",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021500",
            "telephone_number": "801-532-1244",
            "fax_number": "801-532-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-532-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1783141205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529824158002",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PROVIDE",
            "identifier": "3400017805",
            "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 Aug 22, 2020; 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.