Cottonwood Pediatric Gastroenterology

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

168364-1205 Issued in UT

Legal business name

COTTONWOOD PEDIATRIC GASTROENTEROLOGY

Practice address

5770 S 250 E
Ste330
Murray, UT 84107-8100

Phone

(801) 314-4455

Fax

(801) 314-4433

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Louis L Mizell Jr., M.D.

Title

Physician

Phone

(801) 314-4455

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Pollio Farrell, NP

  • Nurse Practitioner
  • Murray, UT
  • NPI 1699021741
  NPD (past)
• Janet K Harnsberger, M.D.

  • Pediatric Gastroenterology Physician
  • Murray, UT
  • NPI 1811992928
  NPD (past)

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1346595188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "STE330",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4455",
            "fax_number": "801-314-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "STE330",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4455",
            "fax_number": "801-314-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD PEDIATRIC GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-314-4455",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "UT",
            "license": "168364-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cottonwood Counseling and Coaching LLC
• Cottonwood Eye and Laser Center
• Cottonwood Movement Therapy
• Cottonwood OB-GYN
• Cottonwood Ophthalmology Associates Inc
• Cottonwood Surgery Center LLC
• James Cottrell
• Jason Cottrell, DO
• Courage and Clarity Counseling PLLC
• Kristen Courtney

• Pediatric Gastroenterology Physician in Murray, UT
• Providers in Murray, UT by specialty
• Pediatric Gastroenterology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.