Salt Lake Vascular Associates, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

177131-1205 Issued in UT

Legal business name

SALT LAKE VASCULAR ASSOCIATES, PC

Practice address

1521 E 3900 S Ste 100
Salt Lake City, UT 84124-1550

Phone

(801) 268-3800

Fax

(801) 268-3997

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joanna Erzinger, M.D.

Title

Secretary

Phone

(801) 268-3800

Specialties & licenses 1

Addresses

Other names 1

• Steven C. Simper, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 2

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

• Steven Charles Simper, MD

  • Vascular Surgery Physician
  • Salt Lake City, UT
  • NPI 1174617336
  Medicare reassignment NPD
• Nicholas J Paulk, MD

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1467604298
  NPD

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1467671008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 E 3900 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241550",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 E 3900 S STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241550",
            "telephone_number": "801-268-3800",
            "fax_number": "801-268-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE VASCULAR ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ERZINGER",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "801-268-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "177131-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven C. Simper, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.