Pectus Services of Utah

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

PECTUS SERVICES OF UTAH

Practice address

877 E Vine St
Salt Lake City, UT 84107-6515

Phone

(877) 732-8876

Fax

(973) 488-7185

NPI assigned

Jan 21, 2011

Organization subpart

No

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

Authorized official

Name

Joseph Porcello

Title

Owner

Phone

(877) 732-8876

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295568000000",
    "number": "1366747495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 BELMOHR ST",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092202",
            "telephone_number": "877-732-8876",
            "fax_number": "973-488-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 E VINE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076515",
            "telephone_number": "877-732-8876",
            "fax_number": "973-488-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECTUS SERVICES OF UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-21",
        "last_updated": "2011-01-21",
        "status": "A",
        "authorized_official_last_name": "PORCELLO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-732-8876"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Peckenpaugh
• Lindsay Peckham
• Miriam Peckham, M.D.
• Regina Pectol, SSW
• Victoria Lee Pectol
• Ayush Venkat Peddireddi, MD
• Fufan Pedel, LMFT
• Nicole Peden
• Bradley Pedersen
• Donald M Pedersen, PA

• Customized Equipment (DME) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Customized Equipment (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.