Active NPI
Gregg J Stephany, PA-C
- Surgical Physician Assistant
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 6717503-1206
- Practice address
- 5848 S Fashion Blvd Ste 120
Murray, UT 84107-6157 - Phone
- (801) 314-4900
- Fax
- (801) 314-4919
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 6717503-1206 | UT | Primary |
| Physician Assistant | 363A00000X | 1003 | CO |
Addresses
Primary practice location
5848 S Fashion Blvd Ste 120
Murray, UT 84107-6157
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07010036 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071019000109 | UT | Practitioner - Physician Assistant | 0345259057 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services IncThe Orthopedic Clinic LC
Practice addresses (Care Compare)
325 8TH Ave
Salt Lake City, UT 84143-0001
Phone (801) 408-3617
5848 S Fashion Blvd
Suite 110
Salt Lake City, UT 84107-6175
Phone (801) 314-4188
5848 S Fashion Blvd
The Orthopedic Specialty Hosp Physicans Gro
Murray, UT 84107-6121
Phone (801) 314-4100
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-1100
Hospital & facility affiliations
- LDS Hospital
- Intermountain Medical Center
- Intermountain Health Riverton Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1003 | CO | MD | Physician Assistant |
| 6717503-1206 | UT | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Service Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100
5848 S Fashion Blvd
Salt Lake Cty, UT 84107
Phone (801) 314-4040
5848 S Fashion Blvd
Ste 110
Salt Lake Cty, UT 84107
Phone (801) 314-4188
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
324 Tenth Ave
#163
Salt Lake Cty, UT 84103
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
Organizations & group practices 7
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.
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Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1487747515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5848 S FASHION BLVD STE 120",
"city": "MURRAY",
"state": "UT",
"postal_code": "841076157",
"telephone_number": "801-314-4900",
"fax_number": "801-314-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHANY",
"first_name": "GREGG",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "UT",
"license": "6717503-1206",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1003",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07010036",
"state": "CO"
}
],
"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 7, 2024; 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.
- 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.