Active NPI
J. Linke Hebrew, MD
- Emergency Medicine Physician
- West Valley City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 175253-1205
- Practice address
- 3460 Pioneer Pkwy
West Valley City, UT 84120-2049 - Phone
- (801) 964-3100
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
NPD EMERGENCY MEDICINE -
- General Acute Care Hospital
- Tooele, UT
- NPI 1124090659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175253-1205 | UT | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Integrated Care, LLC | Emergency Medicine | Current | Accepting new patients |
| Tooele Hospital Corporation | Past | Accepting new patients |
Locations
1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000
3000 N Triumph Blvd
Lehi, UT 84043
Phone (385) 345-3000
630 Medical Dr
North Salt Lake, UT 84010
Phone (801) 292-6231
2690 N 600 W
Pleasant View, UT 84414
Phone (801) 786-7911
3451 W 5600 S
Roy, UT 84067
Phone (801) 896-5600
333 N 300 W
Salt Lake City, UT 84103
Phone (801) 463-7415
2500 S State St
South Salt Lake, UT 84115
Phone (385) 646-5000
2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 175253-1205 | UT | |
| Emergency Medicine Physician | 207P00000X | 175253-1205 | UT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3460 Pioneer Pkwy
West Valley City, UT 84120-2049
Mailing address
144 S 500 E
2ND Floor
Salt Lake City, UT 84102-1907
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1231 | Medicaid | UT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 29, 2010.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1467412973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 S 500 E",
"address_2": "2ND FLOOR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 PIONEER PKWY",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202049",
"telephone_number": "801-964-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBREW",
"first_name": "J. LINKE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "UT",
"license": "175253-1205",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "175253-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D1231",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.