Ihc Health Services Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Avenues General Surgery

Practice address

324 E 10TH Ave
Salt Lake City, UT 84103-2853

Phone

(801) 408-7500

NPI assigned

May 23, 2017

Last updated

May 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Briesacher, MD

Title

Clinical Integration SVP

Phone

(801) 442-3495

Specialties & licenses 1

Addresses

Other names 1

• Avenues General Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 3

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.

• Brandon A Adams, PSY.D.

  • Psychologist
  • Ogden, UT
  • NPI 1386702397
  NPD
• Dean Arthur Mayer, M.D.

  • Hospitalist Physician
  • Murray, UT
  • NPI 1316915432
  NPD
• Alexis Markay Stoker

  • Advanced Practice Midwife
  • Sandy, UT
  • NPI 1104634278
  NPD

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1336677277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-408-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E 10TH AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032853",
            "telephone_number": "801-408-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "BRIESACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CLINICAL INTEGRATION SVP",
        "authorized_official_telephone_number": "801-442-3495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenues General Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Park City Sleep Disorders Clinic)
• Ihc Health Services Inc (Intermountain Medical Group)
• Ihc Health Services Inc (Avenues Neurosurgery)
• Ihc Health Services Inc (Avenues Obstetrics and Gynecology)
• Ihc Health Services Inc (Intermountain Urological Institute-LDS Campus)
• Ihc Health Services Inc (LDS Wound and Hyperbaric)
• Ihc Health Services Inc
• Ihc Health Services Inc (LDS Critical Care)
• Ihc Health Services Inc (Rose Park Elementary Clinic)
• Ihc Health Services Inc (Ihc Health Center Pharmacy Salt Lake Clinic)

• Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.