Wasatch Medical

Primary specialty

SpecialistTaxonomy code 174400000X

License

168632-1205 Issued in UT

Legal business name

WASATCH MEDICAL

Practice address

6770 S 900 E
Ste 103
Midvale, UT 84047-1709

Phone

(801) 647-8888

Fax

(801) 561-5857

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary D Scott

Title

Office Manager

Phone

(801) 647-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1275971640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 S 900 E",
            "address_2": "STE 103",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471709",
            "telephone_number": "801-647-8888",
            "fax_number": "801-561-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 S 900 E",
            "address_2": "STE 103",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840471709",
            "telephone_number": "801-647-8888",
            "fax_number": "801-561-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-647-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "168632-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Warburton, RBT
• Cody Randall Wardell, PHARMD
• Bret J. Wardle, PT, DPT
• Julie Wareham, INTERN
• Wasatch Chiropractic Inc
• Anna Christina Watson
• Jacob Watts
• Lynn I Wawrinofsky, PHARMACIST
• We Care for U LLC
• Jaala Weaver

• Specialist in Midvale, UT
• Providers in Midvale, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.