R C Halversen MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

R C HALVERSEN MD PC

Practice address

1160 E 3900 S
4100
Salt Lake City, UT 84124

Phone

(801) 268-3800

Fax

(801) 268-3997

NPI assigned

Jul 30, 2006

Last updated

Jul 19, 2011By 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

Mary D Scott

Title

Billing MGR

Phone

(801) 577-7055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1346255098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "4100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "4100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R C HALVERSEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "801-577-7055"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Eusebio Quirino Munoz
• Beatriz Quiroz
• Nicole Elice Quiroz
• Daphne Alana Quist, C.S.W.
• James Quist II, LAT, ATC
• R. Duncan Wallace, M.D., P.C.
• R2 Medical
• Charlyn Leslie Raaberg
• Hannah Erin Raasch, MD
• Sonja Elizabeth Raaum, MD

• 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 Jul 19, 2011; 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.