Individual provider Active NPI

David K Palmer, MD

  • Otolaryngology Physician
  • SLC, UT
National Provider Identifier
1427018191
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
186744-1205 Issued in UT
Practice address
4000 S 700 E
Ste 10
SLC, UT 84107-2180
Phone
(801) 268-4141
Fax
(801) 261-8609
NPI assigned
Mar 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 186744-1205 UT Primary
Otolaryngic Allergy Physician 207YX0602X 186744-1205 UT

Addresses

Primary practice location

4000 S 700 E
Ste 10
SLC, UT 84107-2180

Mailing address

4000 S 700 E
Ste 10
SLC, UT 84107-2180
Phone (801) 268-4141

Other identifiers 1

IdentifierTypeStateIssuer
870354540001MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050317000480 UT Practitioner - Otolaryngology 5597710087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Pennsylvania, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT Professional Association ServicesGroup PAC ID 8921053349, 18 clinicians

Practice addresses (Care Compare)

4000 S 700
Suite 10
Salt Lake City, UT 84107-2580
Phone (801) 268-4141

Hospital & facility affiliations

  • St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
ENT Professional Association Services Otolaryngology CurrentSince Feb 1, 2005 Accepting new patients
Jordan Family Health, LLC Past Accepting new patients

Locations

74 E Kimballs Ln
Ste 360
Draper, UT 84020
Phone (801) 260-3687

96 E Kimballs Ln
Ste 309
Draper, UT 84020
Phone (801) 260-3687

4000 S 7th E
Ste 10
Salt Lake Cty, UT 84107
Phone (801) 268-4141

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

491 N Main St
Tooele, UT 84074
Phone (435) 843-8881

8846 S Redwood Rd
Ste E121
West Jordan, UT 84088
Phone (801) 268-4141

Interoperability endpoints

  • Direct secure messaging: dpalmer@entslc.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1427018191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "STE 10",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841072180",
            "telephone_number": "801-268-4141",
            "fax_number": "801-261-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 S 700 E",
            "address_2": "STE 10",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841072180",
            "telephone_number": "801-268-4141",
            "fax_number": "801-261-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "186744-1205",
            "primary": true
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "UT",
            "license": "186744-1205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870354540001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in SLC, UT

Sources for this page

Verify at the official NPI Registry.