Tooele Clinic Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

87063588 Issued in UT

Legal business name

TOOELE CLINIC CORPORATION

Practice address

330 Franklin Rd #135a-304
Brentwood, TN 37027-3280

Phone

(615) 309-3338

NPI assigned

Jun 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Michaele Portacci

Title

Senior Group VP

Phone

(615) 309-3340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487656781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "615-309-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD #135A-304",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "615-309-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTACCI",
        "authorized_official_first_name": "MICHAELE",
        "authorized_official_title_or_position": "SENIOR GROUP VP",
        "authorized_official_telephone_number": "615-309-3340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "87063588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Lynn Todd, FNP
• Pamela Todd
• Rebecca Toepfer, ED.S
• Tomorrowmedrx
• Laurie A Tompkins, APRN
• Ethan Donald Toole
• Pedro Torres Allen
• Carmen Elvira Torres, FNP
• Claudia Torres
• Michael Torres

• Family Medicine Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.