Individual provider Active NPI

Tony Scott Gregory, P.A.

  • Physician Assistant
  • Midvale, UT
National Provider Identifier
1477802825
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8418422-1206 Issued in UT
Practice address
8446 S Harrison St
Midvale, UT 84047-3501
Phone
(801) 417-0131
Fax
(801) 255-5814
NPI assigned
Aug 30, 2012
Last updated
Mar 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8418422-1206 UT Primary

Addresses

Primary practice location

8446 S Harrison St
Midvale, UT 84047-3501

Mailing address

12533 S 4260 W
Riverton, UT 84096-5504
Phone (801) 556-9357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120924000815 UT Practitioner - Physician Assistant 3678721248 Reassigns benefits to 2 organizations
I20190221001435 HI Practitioner - Physician Assistant 3678721248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Utah Partners for HealthGroup PAC ID 8224262480, 9 clinicians

Practice addresses (Care Compare)

8446 S Harrison St
Midvale, UT 84047-3501
Phone (801) 417-0131

9103 S 1300
West Jordan, UT 84088-6709
Phone (801) 417-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8418422-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Integrated Care, LLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Utah Partners for Health CurrentSince Mar 1, 2014 Accepting new patients

Locations

1600 W Antelope Dr
Layton, UT 84041
Phone (801) 807-1000

7651 S Main St
Midvale, UT 84047
Phone (801) 255-5814

8446 S Harrison St
Midvale, UT 84047
Phone (801) 417-0131

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

1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111

2055 N Main St
Tooele, UT 84074
Phone (435) 843-3600

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

9103 S 1300 W
Ste 102
West Jordan, UT 84088
Phone (801) 208-2070

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 562-4210

Interoperability endpoints

  • Direct secure messaging: tony.gregory@upfh.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1477802825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12533 S 4260 W",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840965504",
            "telephone_number": "801-556-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8446 S HARRISON ST",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840473501",
            "telephone_number": "801-417-0131",
            "fax_number": "801-255-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TONY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "8418422-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.