Active NPI
Summit Medical Pain & Spine
- Pain Medicine Physician
- Millcreek, UT
National Provider Identifier
1336637263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- SUMMIT MEDICAL PAIN & SPINE
- Practice address
- 4465 S 900 E Ste 275
Millcreek, UT 84124-2644 - Phone
- (208) 851-1671
- NPI assigned
- Apr 26, 2018
- Last updated
- Jan 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam Trammell
- Title
- Owner
- Phone
- (208) 851-1671
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | NU | Primary |
Addresses
Primary practice location
4465 S 900 E Ste 275
Millcreek, UT 84124-2644
Mailing address
4465 S. 900 E.
Ste. 275
Millcreek, UT 84124-2644
Phone (801) 266-2440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1547596800000",
"number": "1336637263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4465 S. 900 E.",
"address_2": "STE. 275",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841242644",
"telephone_number": "801-266-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 S 900 E STE 275",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841242644",
"telephone_number": "208-851-1671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL PAIN & SPINE",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-26",
"last_updated": "2019-01-16",
"status": "A",
"authorized_official_last_name": "TRAMMELL",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-851-1671",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millcreek, UT
- Brian Steyer
- Eugenie Catherine Stoll, LCSW
- Ashley Lyn Storer, APRN, DNP/FNP-BC
- Kaitlyn Strong, RBT
- Aujhanae Najhia Stuart
- Sunstone Healing PLLC
- Surgical Associates
- The Awareness and Recovery Center LLC
- The Neurodiversity Clinic
- The Performing, Endurance, and Artistic Athlete Clinic, PLLC (The PEAAC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.