Organization Active NPI

Wasatch Neurological Clinic

  • Specialist
  • Murray, UT
National Provider Identifier
1386737096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1643411205 Issued in UT
Legal business name
WASATCH NEUROLOGICAL CLINIC
Practice address
6040 S. Fashion Blvd
#201
Murray, UT 84107
Phone
(801) 268-1888
Fax
(801) 268-1980
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas D Houts, M.D.
Title
President/Owner
Phone
(801) 268-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 1643411205 UT Primary

Addresses

Primary practice location

6040 S. Fashion Blvd
#201
Murray, UT 84107

Mailing address

6040 S. Fashion Blvd
#201
Murray, UT 84107
Phone (801) 268-1888

Other identifiers 3

IdentifierTypeStateIssuer
1407839608OtherUTNPI GREGORY CALL
1215919659OtherUTNPI ROBERT SUMMERFIELD
1467434803OtherUTNPI THOMAS HOUTS

National Provider Directory

National Provider Directory

Locations

6040 S Fashion Blvd
Ste 201
Salt Lake City, UT 84107
Phone (801) 268-1888

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386737096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 S. FASHION BLVD",
            "address_2": "#201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-268-1888",
            "fax_number": "801-268-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 S. FASHION BLVD",
            "address_2": "#201",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-268-1888",
            "fax_number": "801-268-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH NEUROLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUTS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "801-268-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "1643411205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GREGORY CALL",
            "identifier": "1407839608",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ROBERT SUMMERFIELD",
            "identifier": "1215919659",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI THOMAS HOUTS",
            "identifier": "1467434803",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.