NPIMap

Organization Active NPI

Osteoarthritis Centers of America Medical Group PC

  • Pain Clinic/Center
  • Bluffdale, UT
National Provider Identifier
1376844886
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
OSTEOARTHRITIS CENTERS OF AMERICA MEDICAL GROUP PC
Practice address
14587 S 790 W
Ste a
Bluffdale, UT 84065-2320
Phone
(801) 478-2526
Fax
(801) 931-2498
NPI assigned
Nov 15, 2010
Last updated
Jul 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

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

Authorized official

Name
James Schrader
Title
Coo
Phone
(801) 856-9778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

14587 S 790 W
Ste a
Bluffdale, UT 84065-2320

Mailing address

14587 S 790 W Ste a
Ste a
Bluffdale, UT 84065-2320
Phone (801) 478-2526

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1097 N Rosario St
Ste 110
Meridian, ID 83642
Phone (208) 906-8322

14587 S 790 W
#A
Bluffdale, UT 84065

14587 S 790 W
Ste A
Bluffdale, UT 84065
Phone (801) 478-2526

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1376844886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14587 S 790 W STE A",
            "address_2": "STE A",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840652320",
            "telephone_number": "801-478-2526",
            "fax_number": "801-931-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14587 S 790 W",
            "address_2": "STE A",
            "city": "BLUFFDALE",
            "state": "UT",
            "postal_code": "840652320",
            "telephone_number": "801-478-2526",
            "fax_number": "801-931-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTEOARTHRITIS CENTERS OF AMERICA MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "801-856-9778"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffdale, UT

Sources for this page

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