Salt Lake Family Health CNTR

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3560871205 Issued in UT

Legal business name

SALT LAKE FAMILY HEALTH CNTR

Practice address

1002 E South Temple 404
Salt Lake City, UT 84102

Phone

(801) 350-4479

Fax

(801) 350-4377

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Richard Swoboda, MDNPI 1598898363

Title

President

Phone

(801) 350-4479

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Paul Richard Swoboda, M.D.

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1598898363
  NPD (past) Authorized official
• Mara Lee Rabin, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1225161003
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417066176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE 404",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-350-4479",
            "fax_number": "801-350-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE 404",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-350-4479",
            "fax_number": "801-350-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE FAMILY HEALTH CNTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWOBODA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-350-4479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3560871205",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "27746451205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496801378020",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salt Lake Dermatology and Aesthetics PC
• Salt Lake Donated Dental Services
• Salt Lake Endodontics
• Salt Lake Endoscopy Center
• Salt Lake Eye Associates, LLC
• Salt Lake Foot and Ankle PLLC
• Salt Lake Homecare
• Salt Lake Implants and Periodontics
• Salt Lake Infectious Disease, LLC
• Salt Lake Marital & Family Therapy Clinic

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• 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.