NPIMap

Organization Active NPI

Mountainstar Cardiology St Marks LLC

Doing business as Heart Center at St Mark's

  • Interventional Cardiology Physician
  • Salt Lake City, UT
National Provider Identifier
1437446168
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
MOUNTAINSTAR CARDIOLOGY ST MARKS LLC
Doing business as
Heart Center at St Mark's
Practice address
1160 E 3900 S
Ste. 2000
Salt Lake City, UT 84124-1202
Phone
(801) 266-3418
Fax
(801) 266-4174
NPI assigned
Jul 1, 2011
Last updated
Jan 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Authorized official

Name
Louis Joseph
Title
VP
Phone
(615) 373-7630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

1160 E 3900 S
Ste. 2000
Salt Lake City, UT 84124-1202

Mailing address

2000 Health Park Dr
Brentwood, TN 37027-4525
Phone (615) 373-7600

Other identifiers 1

IdentifierTypeStateIssuer
1437446168MedicaidUT

Other names 1

  • Heart Center at St Mark's Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120313000497 UT Part B Supplier - Clinic/Group Practice 2961661855 Receives reassigned benefits from 43 practitioners
Practice locations: Salt Lake City, UT; Orem, UT; Payson, UT; Providence, UT; Riverton, UT; Brigham City, UT; Sandy, UT; Spanish Fork, UT…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

970 Medical Dr
Ste 202
Brigham City, UT 84302
Phone (435) 695-2273

1407 N 2000 W
Ste B
Clinton, UT 84015
Phone (801) 773-3191

2132 N Robins Dr
Layton, UT 84041
Phone (801) 728-0600

2950 N Church St
Ste 101A
Layton, UT 84040
Phone (801) 771-7750

2380 N 400 E
Ste 100
North Logan, UT 84341
Phone (435) 713-9700

425 E 5350 S
Ste 400
Ogden, UT 84405
Phone (801) 476-0184

5405 S 500 E
Ste 204
Ogden, UT 84405
Phone (801) 479-0184

698 W 800 N
Ste 160
Orem, UT 84057
Phone (801) 714-6412

1160 E 3900 S
Ste 3000
Salt Lake City, UT 84124
Phone (801) 268-7730

1250 E 3900 S
Ste 460
Salt Lake City, UT 84124
Phone (801) 262-3564

3540 S 4000 W
Ste 201
Salt Lake City, UT 84120
Phone (801) 676-3776

1140 E 3900 S
Ste 400
Salt Lake Cty, UT 84124
Phone (801) 268-6811

1160 E 3900 S
Ste 4050
Salt Lake Cty, UT 84124
Phone (801) 262-8486

2356 N 400 E
Ste 104
Tooele, UT 84074
Phone (435) 882-0711

3540 S 4000 W
Ste 340
West Valley City, UT 84120
Phone (801) 417-5017

3725 W 4100 S
Ste 201
West Valley City, UT 84120
Phone (801) 565-6900

Practitioners & affiliated clinicians

Practitioners 116

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 116

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1437446168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S",
            "address_2": "STE. 2000",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241202",
            "telephone_number": "801-266-3418",
            "fax_number": "801-266-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTAR CARDIOLOGY ST MARKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437446168",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Center at St Mark's",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Center at St Mark's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.