Active NPI
Catherine M Harris, MD
- Anesthesiology Physician
- Salt Lake City, UT
National Provider Identifier
1467554428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 275869-1205
- Practice address
- 359 - 8TH Avenue
ASC
Salt Lake City, UT 84103 - Phone
- (801) 408-3200
- Fax
- (801) 733-5618
- NPI assigned
- Sep 1, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 275869-1205 | UT | Primary |
Addresses
Primary practice location
359 - 8TH Avenue
ASC
Salt Lake City, UT 84103
Mailing address
3340 North Center St
#800
Lehi, UT 84043-7406
Phone (801) 990-1910
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100504140 | Medicaid | NV | |
| 1502954 | Other | UT | UMWA |
| QM0000075886 | Other | UT | ALTIUS |
| 475980 | Medicaid | AZ | |
| 119937400 | Medicaid | WY | |
| 313962 | Other | UT | DESERET MUTUAL |
| 462 | Other | UT | HEALTHY U |
| 870545614CMH | Other | UT | EDUCATORS MUTUAL |
| 78143 | Other | UT | PEHP |
| TPRA07339 | Other | UT | MOLINA |
| 107007330102 | Other | UT | IHC |
| 2090168 | Other | UT | UNITED HEALTHCARE |
| 805135100 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275869-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain West Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| U U Anesthesiology Department School of Medicine | Anesthesiology | Past | Accepting new patients |
Locations
3340 N Center St
Ste 800
Lehi, UT 84043
Phone (800) 501-4788
150 W Civic Center Dr
Ste 200
Sandy, UT 84070
Phone (801) 727-2056
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.
-
- Anesthesiology Physician
- Lehi, UT
- NPI 1558391763
-
- Pain Medicine (Anesthesiology) Physician
- Salt Lake City, UT
- NPI 1134158322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1467554428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 NORTH CENTER ST",
"address_2": "#800",
"city": "LEHI",
"state": "UT",
"postal_code": "840437406",
"telephone_number": "801-990-1910",
"fax_number": "801-990-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 - 8TH AVENUE",
"address_2": "ASC",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84103",
"telephone_number": "801-408-3200",
"fax_number": "801-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "CATHERINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-01",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "275869-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100504140",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1502954",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000075886",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475980",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119937400",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "313962",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY U",
"identifier": "462",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870545614CMH",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "78143",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "TPRA07339",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107007330102",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2090168",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805135100",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 15, 2012; 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.