NPIMap

Organization Active NPI

Cullen Archer, MD, PLLC

Doing business as Utah Center for Women's Healthcare

  • Obstetrics & Gynecology Physician
  • Provo, UT
National Provider Identifier
1306243803
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7257858-1205 Issued in UT
Legal business name
CULLEN ARCHER, MD, PLLC
Doing business as
Utah Center for Women's Healthcare
Practice address
3651 N 100 E
Suite 375
Provo, UT 84604-4597
Phone
(435) 830-5100
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Cullen Archer, M.D.NPI 1376534875
Title
Managing Member
Phone
(435) 830-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 7257858-1205 UT Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 7359472-1205 UT
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 6814504-1206 UT

Addresses

Primary practice location

3651 N 100 E
Suite 375
Provo, UT 84604-4597

Mailing address

992 E Brookfield Ave
Erda, UT 84074-3304
Phone (435) 830-5100

Other names 1

  • Utah Center for Women's Healthcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1306243803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 E BROOKFIELD AVE",
            "city": "ERDA",
            "state": "UT",
            "postal_code": "840743304",
            "telephone_number": "435-830-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 N 100 E",
            "address_2": "SUITE 375",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044597",
            "telephone_number": "435-830-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLEN ARCHER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "ARCHER",
        "authorized_official_first_name": "CULLEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "435-830-5100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "7257858-1205",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "7359472-1205",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "6814504-1206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Center for Women's Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.