Active NPI
Wasatch Neurological Clinic
- Specialist
- Murray, UT
National Provider Identifier
1386737096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1643411205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407839608 | Other | UT | NPI GREGORY CALL |
| 1215919659 | Other | UT | NPI ROBERT SUMMERFIELD |
| 1467434803 | Other | UT | NPI THOMAS HOUTS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Port Jefferson, NY
- NPI 1518256767
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.