Ina Amber MD LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

1717901205 Issued in UT

Legal business name

INA AMBER MD LLC

Practice address

1151 E 3900 So
Suite B275
Salt Lake City, UT 84124

Phone

(801) 268-6830

Fax

(801) 262-3584

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Ina J Amber, MD

Title

MD Private Practice

Phone

(801) 268-6830

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1437333895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E 3900 SO",
            "address_2": "SUITE B275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E 3900 SO",
            "address_2": "SUITE B275",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-268-6830",
            "fax_number": "801-262-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INA AMBER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "AMBER",
        "authorized_official_first_name": "INA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD PRIVATE PRACTICE",
        "authorized_official_telephone_number": "801-268-6830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "UT",
            "license": "1717901205",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "UT",
            "license": "1717901205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INIVIDUAL NPI",
            "identifier": "1760549927",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366482338051",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Infectious Disease Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.