Organization Active NPI

Alvin J Wirthlin MD PC

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1487765145
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
1550161205 Issued in UT
Legal business name
ALVIN J WIRTHLIN MD PC
Practice address
324 10TH Ave
Suite 228
Salt Lake City, UT 84103
Phone
(801) 364-0551
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alvin J Wirthlin, MD
Title
President
Phone
(801) 364-0551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 1550161205 UT Primary

Addresses

Primary practice location

324 10TH Ave
Suite 228
Salt Lake City, UT 84103

Mailing address

1500 Alta Circle
Salt Lake City, UT 84103
Phone (801) 364-0551

Other identifiers 1

IdentifierTypeStateIssuer
870269232498MedicaidUT

National Provider Directory

National Provider Directory

Locations

324 Tenth Ave
Ste 228
Salt Lake City, UT 84103
Phone (801) 364-0551

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487765145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ALTA CIRCLE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84103",
            "telephone_number": "801-364-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 10TH AVE",
            "address_2": "SUITE 228",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84103",
            "telephone_number": "801-364-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN J WIRTHLIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIRTHLIN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-364-0551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "1550161205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870269232498",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • 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.