Individual provider Active NPI

Hilary S. Seibert, DO

  • Family Medicine Physician
  • Stansbury Park, UT
National Provider Identifier
1275623894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
180271-1204 Issued in UT
Practice address
220 Millpond
100
Stansbury Park, UT 84074-9745
Phone
(801) 213-9400
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 180271-1204 UT Primary

Addresses

Primary practice location

220 Millpond
100
Stansbury Park, UT 84074-9745

Mailing address

PO Box 510708
Salt Lake City, UT 84151-0708
Phone (801) 587-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000917 UT Practitioner - Family Practice 0547164055 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
180271-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Green MD PLLC CurrentSince Nov 27, 2016 Accepting new patients
Patrick Green MD PLLC CurrentSince Nov 27, 2016 Accepting new patients
Physician Group of Utah Inc CurrentSince Nov 3, 2012 Accepting new patients

Locations

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

2376 N 400 E
Ste 203
Tooele, UT 84074
Phone (435) 882-0599

30 S Tooele Blvd
Tooele, UT 84074
Phone (435) 241-7778

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275623894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510708",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841510708",
            "telephone_number": "801-587-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MILLPOND",
            "address_2": "100",
            "city": "STANSBURY PARK",
            "state": "UT",
            "postal_code": "840749745",
            "telephone_number": "801-213-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIBERT",
        "first_name": "HILARY",
        "middle_name": "S.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "180271-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stansbury Park, UT

Sources for this page

Verify at the official NPI Registry.