Individual provider Active NPI

Keith Owen Horwood, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1316923113
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173664-1205 Issued in UT
Practice address
4745 S 3200 W
Salt Lake City, UT 84118-2822
Phone
(801) 964-6214
NPI assigned
Dec 22, 2005
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 173664-1205 UT Primary

Addresses

Primary practice location

4745 S 3200 W
Salt Lake City, UT 84118-2822

Mailing address

1876 Suzette Cir
Salt Lake City, UT 84106-3914
Phone (801) 487-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091120000466 UT Practitioner - Family Practice 4587557665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

4745 S 3200
Taylorsville, UT 84129-2822
Phone (801) 964-6214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc. Family Medicine Current Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Dec 1, 2009 Accepting new patients
Community Health Centers, Inc. Family Medicine CurrentSince Feb 3, 2004 Accepting new patients
Community Health Centers, Inc. Family Medicine Past Accepting new patients

Locations

980 S 500 W
Ste 1
Brigham City, UT 84302
Phone (435) 723-6191

220 W 7200 S
Ste A
Midvale, UT 84047
Phone (801) 566-5494

1365 W 1000 N
Slc, UT 84116
Phone (801) 328-5750

1388 S Navajo St
Slc, UT 84104
Phone (801) 955-2360

4745 S 3200 W
Taylorsville, UT 84129
Phone (801) 964-6214

440 W 6th N
Tremonton, UT 84337
Phone (435) 257-7441

1455 W 2200 S
Ste 300
West Valley City, UT 84119
Phone (801) 231-6986

2621 S 3270 W
West Valley City, UT 84119
Phone (385) 261-2614

4535 S 5600 W
West Valley City, UT 84120
Phone (801) 676-4405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA
  • Direct secure messaging: keith.horwood@chcsl.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Centers IncTremonton, UT, CCN 461847 Federally qualified health center W-2 Managing Employee Feb 10, 1997
Community Health Centers IncWest Valley City, UT, CCN 461854 Federally qualified health center W-2 Managing Employee Jul 17, 1989

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1316923113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 SUZETTE CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841063914",
            "telephone_number": "801-487-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 S 3200 W",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841182822",
            "telephone_number": "801-964-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWOOD",
        "first_name": "KEITH",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "173664-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.