Active NPI
Mark Allen Rholl, MD
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1366498818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7512
- Practice address
- 275 E 200 S
Vista Staffing Solutions
Salt Lake City, UT 84111-2002 - Phone
- (800) 366-1884
- Fax
- (866) 360-6021
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10371 | NH | |
| Family Medicine Physician | 207Q00000X | 7512 | AK | Primary |
Addresses
Primary practice location
275 E 200 S
Vista Staffing Solutions
Salt Lake City, UT 84111-2002
Mailing address
275 E 200 S
Vista Staffing Solutions
Salt Lake City, UT 84111-2002
Phone (800) 366-1884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30011548 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7512 | AK | MD | Family Medicine Physician |
| 10371 | NH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| York Family Practice | Family Medicine | Past | Accepting new patients |
| York Hospital | Family Medicine | Past | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| Public Hospital District No 1 of Mason County | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- Critical Access Hospital
- Shelton, WA
- NPI 1760568752
-
- Family Medicine Physician
- York, ME
- NPI 1588713218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1366498818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 E 200 S",
"address_2": "VISTA STAFFING SOLUTIONS",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112002",
"telephone_number": "800-366-1884",
"fax_number": "866-360-6021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 E 200 S",
"address_2": "VISTA STAFFING SOLUTIONS",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112002",
"telephone_number": "800-366-1884",
"fax_number": "866-360-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHOLL",
"first_name": "MARK",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NH",
"license": "10371",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "7512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011548",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.