Active NPI
Howard J Wing, MD
- Psychiatry Physician
- Bountiful, UT
National Provider Identifier
1467545640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 273170-1205
- Practice address
- 470 Medical Dr
Bountiful, UT 84010-4928 - Phone
- (801) 298-3446
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 273170-1205 | UT | Primary |
Addresses
Primary practice location
470 Medical Dr
Bountiful, UT 84010-4928
Mailing address
PO Box 460
Bountiful, UT 84011-0460
Phone (801) 298-3446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Sports Med | Past | Accepting new patients | |
| Southwest Center | Past | Accepting new patients |
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- St George, UT
- NPI 1548212640
-
- Sports Medicine (Family Medicine) Physician
- Salt Lake City, UT
- NPI 1699796706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1467545640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110460",
"telephone_number": "801-298-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 MEDICAL DR",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840104928",
"telephone_number": "801-298-3446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WING",
"first_name": "HOWARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "UT",
"license": "273170-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.