NPIMap

Organization Active NPI

Stonebrook Medical L.L.C

  • Clinic/Center
  • American Fork, UT
National Provider Identifier
1407029275
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4591 Issued in UT
Legal business name
STONEBROOK MEDICAL L.L.C
Practice address
36 N 1100 E
Suite D
American Fork, UT 84003-2918
Phone
(801) 763-7803
Fax
(801) 763-7810
NPI assigned
Apr 11, 2008
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Myrna L Loveless
Title
Manager/Owner
Phone
(801) 763-7803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4591 UT Primary

Addresses

Primary practice location

36 N 1100 E
Suite D
American Fork, UT 84003-2918

Mailing address

36 N 1100 E
Suite D
American Fork, UT 84003-2918
Phone (801) 763-7803

National Provider Directory

National Provider Directory

Locations

36 N 1100 E
Ste D
American Fork, UT 84003
Phone (801) 763-2111

Practitioners & affiliated clinicians

Practitioners 1

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": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1407029275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 N 1100 E",
            "address_2": "SUITE D",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032918",
            "telephone_number": "801-763-7803",
            "fax_number": "801-763-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 N 1100 E",
            "address_2": "SUITE D",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032918",
            "telephone_number": "801-763-7803",
            "fax_number": "801-763-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBROOK MEDICAL L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "LOVELESS",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "801-763-7803"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": "4591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.