NPIMap

Organization Active NPI

Utah Valley Radiology Assoc

  • Diagnostic Radiology Physician
  • Monticello, UT
National Provider Identifier
1295034908
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
UTAH VALLEY RADIOLOGY ASSOC
Practice address
380 W. 100 N.
Monticello, UT 84535
Phone
(801) 225-6246
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Janell Burgon
Title
Credentialing
Phone
(801) 701-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

380 W. 100 N.
Monticello, UT 84535

Mailing address

283 E 930 S
Orem, UT 84058-5001
Phone (801) 225-6246

Other identifiers 1

IdentifierTypeStateIssuer
87028448008MedicaidUT

National Provider Directory

National Provider Directory
Tax ID family
Utah Valley Pain Management2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1295034908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 E 930 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585001",
            "telephone_number": "801-225-6246",
            "fax_number": "801-225-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 W. 100 N.",
            "city": "MONTICELLO",
            "state": "UT",
            "postal_code": "84535",
            "telephone_number": "801-225-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH VALLEY RADIOLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "BURGON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "801-701-6504"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87028448008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.