Individual provider Active NPI

Gregory J Danowski

  • Physician Assistant
  • Murray, UT
National Provider Identifier
1366094617
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12024475-1206 Issued in UT
Practice address
181 E Medical Tower Dr
Murray, UT 84107-4872
Phone
(801) 314-7777
NPI assigned
Jul 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 12024475-1206 UT Primary

Addresses

Primary practice location

181 E Medical Tower Dr
Murray, UT 84107-4872

Mailing address

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202000913 UT Practitioner - Physician Assistant 8820409527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

181 E Medical Tower Dr
Murray, UT 84107-4872
Phone (801) 314-7750

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010
  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Utah Medical Group Family Medicine CurrentSince Aug 26, 2020 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

50 E 200 S
Duchesne, UT 84021
Phone (435) 738-2426

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

210 W 300 N
Roosevelt, UT 84066
Phone (435) 722-4691

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

38080 W State Road 35
Tabiona, UT 84072
Phone (435) 848-5509

405 N 500 W
Vernal, UT 84078
Phone (435) 781-2335

475 N 500 W
Vernal, UT 84078
Phone (435) 781-2030

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1366094617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E MEDICAL TOWER DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074872",
            "telephone_number": "801-314-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E MEDICAL TOWER DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841074872",
            "telephone_number": "801-314-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANOWSKI",
        "first_name": "GREGORY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "12024475-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.