Active NPI
Erin Lee Dame, PA-C
- Physician Assistant
- Midvale, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9631951-1206
- Practice address
- 7171 S 420 E
Midvale, UT 84047-5642 - Phone
- (617) 930-9302
- NPI assigned
- Oct 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5260 | AZ | |
| Physician Assistant | 363A00000X | 9631951-1206 | UT | Primary |
Addresses
Primary practice location
7171 S 420 E
Midvale, UT 84047-5642
Mailing address
7171 S 420 E
Midvale, UT 84047-5642
Phone (617) 930-9302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4810 Spicewood Springs Rd
BLDG B
Austin, TX 78759-7838
7171 S 420
Midvale, UT 84047-5642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003830 | CO | MD | Occupational Therapist |
| 9631951-1206 | UT | MD | Physician Assistant |
| 5260 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ashwin Gowda MD PA | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients |
Locations
8500 Bluffstone Cv
Ste A101
Austin, TX 78759
Phone (512) 328-2102
1221 W Ben White Blvd
Ste 100A
Austin, TX 78704
Phone (512) 440-5757
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
Interoperability endpoints
- erin.dame.1@11417.direct.athenahealth.com
- https://api.platform.athenahealth.com/11417/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706918400000",
"number": "1326390964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7171 S 420 E",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475642",
"telephone_number": "617-930-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7171 S 420 E",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840475642",
"telephone_number": "617-930-9302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAME",
"first_name": "ERIN",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-05",
"last_updated": "2024-02-03",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "5260",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "9631951-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.