South Valley Rheumatology PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

SOUTH VALLEY RHEUMATOLOGY PC

Practice address

11333 S 1000 E
Suite 100
Sandy, UT 84094-5429

Phone

(801) 571-4100

Fax

(801) 571-4125

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Max S Lundberg, MD

Title

Partner

Phone

(801) 571-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1437294253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11333 S 1000 E",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945429",
            "telephone_number": "801-571-4100",
            "fax_number": "801-571-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11333 S 1000 E",
            "address_2": "SUITE 100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840945429",
            "telephone_number": "801-571-4100",
            "fax_number": "801-571-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "LUNDBERG",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-571-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Rheumatology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.