Jahan Imani MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

2606151205 Issued in UT

Legal business name

JAHAN IMANI MD PC

Practice address

5315 Adams Ave Pkwy
Suite a
Washington Terrace, UT 84405-4766

Phone

(801) 475-5950

Fax

(801) 475-7322

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jahan Imani, MDNPI 1063414969

Title

Lead Physician

Phone

(801) 475-7707

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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

• Jahan Imani, MD

  • Internal Medicine Physician
  • Washington Terrace, UT
  • NPI 1063414969
  Medicare reassignment Care Compare group NPD Authorized official
• Marinda Dawn Paskett, NP

  • Nurse Practitioner
  • Ogden, UT
  • NPI 1073783247
  Medicare reassignment Care Compare group NPD
• David Garrett Jones, PA-C

  • Physician Assistant
  • Washington Terrace, UT
  • NPI 1962824151
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1366560484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9519",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "84409",
            "telephone_number": "801-475-7707",
            "fax_number": "801-475-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ADAMS AVE PKWY",
            "address_2": "SUITE A",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "844054766",
            "telephone_number": "801-475-5950",
            "fax_number": "801-475-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHAN IMANI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "IMANI",
        "authorized_official_first_name": "JAHAN",
        "authorized_official_title_or_position": "LEAD PHYSICIAN",
        "authorized_official_telephone_number": "801-475-7707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "2606151205",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "57891911205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "58040891205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "51777271205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOUP MEDICARE NUMBER",
            "identifier": "000057660",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3010760",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hopeful Minds
• Jamal Horani, MD
• Jahan Imani, MD
• Natalie Catherine Iverson, M.S. CCC-SLP
• Monique Marie Jackman
• Rachel Allison Johnson, TRT
• David Garrett Jones, PA-C
• Amanda Judd
• Kane County Human Resource Special Service District
• Larry E Urry MD PC

• Specialist in Washington Terrace, UT
• Providers in Washington Terrace, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.