Summit View Medical, L. L. C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2939081205 Issued in UT

Legal business name

SUMMIT VIEW MEDICAL, L. L. C.

Practice address

9829 S 1300 E
Suite 302
Sandy, UT 84094-4000

Phone

(801) 576-8988

Fax

(801) 576-9396

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vernon D. Potter, M. D.

Title

Managing Member

Phone

(801) 576-8988

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1295876639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E",
            "address_2": "SUITE 101",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944000",
            "telephone_number": "801-576-8988",
            "fax_number": "801-576-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9829 S 1300 E",
            "address_2": "SUITE 302",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944000",
            "telephone_number": "801-576-8988",
            "fax_number": "801-576-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT VIEW MEDICAL, L. L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-576-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "2939081205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394660823016",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Sandy, UT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.