Organization Active NPI

Utah Wound Solutions PLLC

  • Family Medicine Physician
  • Bountiful, UT
National Provider Identifier
1417773623
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UTAH WOUND SOLUTIONS PLLC
Practice address
450 S 400 E Ste 724
Bountiful, UT 84010-4938
Phone
(385) 262-3211
Fax
(385) 262-3211
NPI assigned
Dec 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Benjamin Popescu, PANPI 1699150540
Title
Physician Assistant
Phone
(385) 262-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

450 S 400 E Ste 724
Bountiful, UT 84010-4938

Mailing address

450 S 400 E Ste 724
Bountiful, UT 84010-4938
Phone (385) 262-3211

National Provider Directory

National Provider Directory

Locations

450 S 400 E
Ste 724
Bountiful, UT 84010
Phone (385) 262-3211

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": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1417773623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 400 E STE 724",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "385-262-3211",
            "fax_number": "385-262-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S 400 E STE 724",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104938",
            "telephone_number": "385-262-3211",
            "fax_number": "385-262-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH WOUND SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "POPESCU",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "385-262-3211",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.