Active NPI
Jana Wold, M.D.
- Specialist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6359075-8905
- Practice address
- 175 N Medical Dr FL 3
Salt Lake City, UT 84132-0001 - Phone
- (801) 587-9935
- Fax
- (801) 587-8039
- NPI assigned
- Jul 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Neurology Physician | 2084V0102X | 6359075-1205 | UT | |
| Specialist | 174400000X | 6359075-8905 | UT | Primary |
Addresses
Primary practice location
175 N Medical Dr FL 3
Salt Lake City, UT 84132-0001
Mailing address
1352 South 900 East
Salt Lake City, UT 84105
Phone (801) 647-5383
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jwold5124@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neuropsychiatry
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Circle of Hope Dr
Salt Lake City, UT 84112-5500
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995
Hospital & facility affiliations
- University of Utah Hospital and Clinics
- Mountain West Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6359075-8905 | UT | MD | Specialist |
| 6359075-1205 | UT | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado West Healthcare System | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| Colorado West Healthcare System | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Pocatello Health Services, LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Past | Accepting new patients |
Locations
2351 G Rd
Grand Junction, CO 81505
Phone (970) 242-0920
777 Hospital Way
Pocatello, ID 83201
Phone (208) 239-1000
777 Hospital Way
Ste 202
Pocatello, ID 83201
Phone (208) 239-2640
175 N Medical Dr
Slc, UT 84112
Phone (801) 581-6908
729 S Arapeen Dr
Slc, UT 84108
Phone (801) 585-1341
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- jwold5124@direct.med.utah.edu
Organizations & group practices 9
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.
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- General Acute Care Hospital
- Grand Junction, CO
- NPI 1497723407
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1689802852
-
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1003210808
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Plastic Surgery Physician
- Grand Junction, CO
- NPI 1205239555
-
- Durable Medical Equipment & Medical Supplies
- Pocatello, ID
- NPI 1154089126
-
- General Acute Care Hospital
- Pocatello, ID
- NPI 1215165485
-
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tooele, UT
- NPI 1124090659
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1487734976
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1588656870
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1265630313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1352 SOUTH 900 EAST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84105",
"telephone_number": "801-647-5383",
"fax_number": "801-587-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 N MEDICAL DR FL 3",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841320001",
"telephone_number": "801-587-9935",
"fax_number": "801-587-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLD",
"first_name": "JANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "UT",
"license": "6359075-1205",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "UT",
"license": "6359075-8905",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jwold5124@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.