Individual provider Active NPI

Amanda L Ho, M.D.

  • Forensic Pathology Physician
  • Taylorsville, UT
National Provider Identifier
1306233366
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
10094334-1205 Issued in UT
Practice address
4451 S 2700 W
Taylorsville, UT 84129-8601
Phone
(801) 816-3850
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Forensic Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZF0201X 10094334-1205 UT Primary

Addresses

Primary practice location

4451 S 2700 W
Taylorsville, UT 84129-8601

Mailing address

4451 S 2700 W
Taylorsville, UT 84129-8601
Phone (801) 816-3850

Other practice location 1

1950 Circle Of Hope Dr
Room N-3100
Salt Lake City, UT 84112-5500
Phone (801) 587-4281

Other names 1

  • Amanda Shelton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10094334-1205UTMDForensic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1306233366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 S 2700 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298601",
            "telephone_number": "801-816-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 S 2700 W",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841298601",
            "telephone_number": "801-816-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Circle Of Hope Dr",
            "address_2": "Room N-3100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841125500",
            "country_code": "US",
            "telephone_number": "801-587-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Forensic Pathology",
            "state": "UT",
            "license": "10094334-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SHELTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Taylorsville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.