Cottonwood OB-GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

COTTONWOOD OB-GYN

Practice address

5063 S Cottonwood St Ste 400
Murray, UT 84107

Phone

(801) 507-1950

Fax

(801) 507-1951

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Steven M Thackeray, M.D.NPI 1407813959

Title

Partner

Phone

(801) 507-1950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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

• Steven M Thackeray, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1407813959
  Medicare reassignment Care Compare group Authorized official
• Spencer P. Barney, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1972644821
  Medicare reassignment Care Compare group NPD
• Erica A. Faircloth, M.D., P.C.

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1689849523
  Medicare reassignment Care Compare group
• Christian D Froerer, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1538117965
  Medicare reassignment Care Compare group
• Jonathan Bradford Gibson, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1376833046
  Medicare reassignment Care Compare group
• Daniel Fred Kaelberer, MD

  • Obstetrics & Gynecology Physician
  • Taylorsville, UT
  • NPI 1376656264
  Medicare reassignment Care Compare group
• Spencer Edmond Pierson, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1699119487
  Medicare reassignment Care Compare group
• Juliana E Peterson, MD

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1679192215
  NPD
• Mary Caitlin Indart, MD

  • Obstetrics & Gynecology Physician
  • Port Angeles, WA
  • NPI 1063075612
  NPD
• Richard A Irion, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1730137571
  NPD (past)
• Rebecca N. Johnson, N.P.

  • Family Nurse Practitioner
  • Lehi, UT
  • NPI 1326107764
  NPD (past)
• Ronald M Larkin, M.D.

  • Obstetrics & Gynecology Physician
  • Murray, UT
  • NPI 1457309213
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1417315243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076773",
            "telephone_number": "801-507-1950",
            "fax_number": "801-507-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5063 S COTTONWOOD ST STE 400",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-507-1950",
            "fax_number": "801-507-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "THACKERAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-507-1950",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation
• Deanna Cote
• Cottonwood Counseling and Coaching LLC
• Cottonwood Eye and Laser Center
• Cottonwood Movement Therapy
• Cottonwood Ophthalmology Associates Inc
• Cottonwood Pediatric Gastroenterology
• Cottonwood Surgery Center LLC
• James Cottrell
• Jason Cottrell, DO

• Obstetrics & Gynecology Physician in Murray, UT
• Providers in Murray, UT by specialty
• Obstetrics & Gynecology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.