NPIMap

Organization Active NPI

Woseth Dermatology, P.C.

Doing business as Leonard J.Swinyer, M.D., P.C.

  • Specialist
  • Salt Lake, UT
National Provider Identifier
1457470585
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6144238-1205 Issued in UT
Legal business name
WOSETH DERMATOLOGY, P.C.
Doing business as
Leonard J.Swinyer, M.D., P.C.
Practice address
3920 South 1100 East
Suite 310
Salt Lake, UT 84124-1276
Phone
(801) 266-8841
Fax
(801) 266-0449
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Mr. Douglas M. Woseth, M.D.NPI 1619978970
Title
M.D.
Phone
(801) 266-8841

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 61442381205 UT
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 6144238-1205 UT Primary

Addresses

Primary practice location

3920 South 1100 East
Suite 310
Salt Lake, UT 84124-1276

Mailing address

3920 South 1100 East
Suite 310
Salt Lake, UT 84124-1276
Phone (801) 266-8841

Other names 1

  • Leonard J.Swinyer, M.D., P.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050822001333 UT Part B Supplier - Clinic/Group Practice 1557392313 Receives reassigned benefits from 13 practitioners
Practice locations: South Jordan, UT; Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

1548 E 4500 S
Ste 202
Millcreek, UT 84117
Phone (801) 266-8841

3920 S 1100 E
Ste 310
Salt Lake Cty, UT 84124
Phone (801) 266-8841

4040 W Daybreak Pkwy
Ste 200
South Jordan, UT 84009
Phone (801) 266-1474

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1457470585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 SOUTH 1100 EAST",
            "address_2": "SUITE 310",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "841241276",
            "telephone_number": "801-266-8841",
            "fax_number": "801-266-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 SOUTH 1100 EAST",
            "address_2": "SUITE 310",
            "city": "SALT LAKE",
            "state": "UT",
            "postal_code": "841241276",
            "telephone_number": "801-266-8841",
            "fax_number": "801-266-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOSETH DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "WOSETH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "801-266-8841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "61442381205",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "6144238-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leonard J.Swinyer, M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.