Catholic Health Initiatives Colorado
Organization Active NPI Surgery Physician · Lehi, UT
NPI 1457053316 · NPPES record last updated Apr 10, 2023
Key facts
- NPI
- 1457053316
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 3000 N Triumph Blvd Ste 110
Lehi, UT 84043-7186 - Phone
- (385) 345-3555
- Fax
- (385) 345-3554
- NPI assigned
- Mar 21, 2023
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Practitioners 6
-
Diane W Allred, FNP
-
Richard I. Gelb I, M.D.
-
Kashif A Memon, MD
-
MHD Hussam Al Jandali, M.D.
-
Gregory Anderson, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615001995 | UT | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 168 practitioners This NPI is an additional NPI on the enrollment Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
3000 N Triumph Blvd Ste 110
Lehi, UT 84043-7186
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names
- Breast Surgery Lehi Mountain Point
Other providers in Lehi, UT
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado
- Cellrx
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.