Nathan G Momberger MD PC

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

3208681205 Issued in UT

Legal business name

NATHAN G MOMBERGER MD PC

Practice address

5848 Fashion Blvd Ste 110
Salt Lake City, UT 84107-6121

Phone

(801) 314-5026

Fax

(801) 314-4015

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Gene R Oakes, CPA

Title

Business Administrator

Phone

(801) 314-5026

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Nathan G Momberger, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Murray, UT
  • NPI 1467486795
  NPD

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1366624991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5848 FASHION BLVD STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076121",
            "telephone_number": "801-314-5026",
            "fax_number": "801-314-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5848 FASHION BLVD STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076121",
            "telephone_number": "801-314-5026",
            "fax_number": "801-314-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN G MOMBERGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "OAKES",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "801-314-5026",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "UT",
            "license": "3208681205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528299949009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reza Nasrollahzadeh, DO
• Nicholas George Nasser, MD
• Farshad Nassiri, MD, PHD
• Nate Ruden MD LLC
• Amelia Marie Nate, CSW
• Nathan Green O.D., P.C.
• Nathan Jacquez CMHC
• David Jay Nathan, M.D.
• Carina Nation, ACMHC
• National Birth Centers, Inc.

• Adult Reconstructive Orthopaedic Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.