Organization Active NPI

Murray Pediatrics LLC

  • Pediatrics Physician
  • Murray, UT
National Provider Identifier
1477736718
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MURRAY PEDIATRICS LLC
Practice address
164 East 5900 South
Ste. a-112
Murray, UT 84107
Phone
(801) 262-2673
Fax
(801) 269-9894
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Kent F. Meacham
Title
Manager
Phone
(801) 476-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

164 East 5900 South
Ste. a-112
Murray, UT 84107

Mailing address

164 East 5900 South
Ste. a-112
Murray, UT 84107
Phone (801) 262-2673

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0523814Murray Pediatrics164 East 5900 South a-112, Murray, UT 84107Provider-performed microscopyAug 9, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1477736718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 EAST 5900 SOUTH",
            "address_2": "STE. A-112",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-262-2673",
            "fax_number": "801-269-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 EAST 5900 SOUTH",
            "address_2": "STE. A-112",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-262-2673",
            "fax_number": "801-269-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-476-9200"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.