Pediatric Gastroenterology

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

Legal business name

PEDIATRIC GASTROENTEROLOGY

Practice address

164 E 5900 S Ste A112
Murray, UT 84107-7274

Phone

(385) 478-8975

Fax

(801) 269-9894

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Louis Mizell

Title

Owner

Phone

(385) 478-8975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Louis Mizell Jr., M.D.

  • Specialist
  • Murray, UT
  • NPI 1851396964

  Pediatric Gastroenterology

  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1356188064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 W MIDAS TRAIL CIR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958215",
            "telephone_number": "385-478-8975",
            "fax_number": "801-269-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 E 5900 S STE A112",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077274",
            "telephone_number": "385-478-8975",
            "fax_number": "801-269-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GASTROENTEROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "MIZELL",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-478-8975"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Performance & Rehab
• Allison L Pearl, MD
• Hannah Peavler, LMFT
• Joshua Peay, PA
• Justin James Peck
• Pediatric Gastroenterology and Nutrition, Inc.
• Sara Low Peel, RDN
• Karyn Peirce, NP
• Peter C Pelegrin, MD
• Christina Marie Pelo, PA-C

• 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 10, 2024; 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.