Ihc Health Services Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34307 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Holladay Clinic

Practice address

6272 Highland Dr
Murray, UT 84121-2126

Phone

(801) 273-5000

NPI assigned

Feb 26, 2007

Last updated

Feb 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 2

Addresses

Other names 1

• Holladay Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sean David Biggs, M.D.

  • Family Medicine Physician
  • Orem, UT
  • NPI 1841233558
  NPD
• Zachary Douglas Fisher, PA-C

  • Physician Assistant
  • Enterprise, UT
  • NPI 1851063176
  NPD
• Robert Reynolds Harkness, NP

  • Nurse Practitioner
  • Provo, UT
  • NPI 1790239671
  NPD
• Jason Reid Lesser, MSN, FNP-C

  • Family Nurse Practitioner
  • Murray, UT
  • NPI 1013576966
  NPD
• Felix Leung, MD

  • Internal Medicine Physician
  • Ogden, UT
  • NPI 1265446090
  NPD
• Michael W. Mangelson, M.D.

  • Urology Physician
  • Salt Lake City, UT
  • NPI 1114944790
  NPD
• Francesca Moore

  • Advanced Practice Midwife
  • SLC, UT
  • NPI 1225652548
  NPD
• Adam Campman Nelson, M.D.

  • Surgical Critical Care Physician
  • Ogden, UT
  • NPI 1609219229
  NPD
• Mikio Obayashi, M.D.

  • Family Medicine Physician
  • Roy, UT
  • NPI 1912923541
  NPD
• Brian Samuel Oliver, MD

  • Emergency Medicine Physician
  • Murray, UT
  • NPI 1548288806
  NPD
• Lana Ngoc Pho, M.D.

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1013160548
  NPD
• Shannon L Tilly, MD

  • Obstetrics & Gynecology Physician
  • Salt Lake City, UT
  • NPI 1093767196
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1487780177",
    "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",
            "telephone_number": "801-273-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 HIGHLAND DR",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212126",
            "telephone_number": "801-273-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "34307",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "34307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holladay Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Murray KidsCare)
• Ihc Health Services Inc (IMED Cardiovascular Intensivists)
• Ihc Health Services Inc (Intermountain Surgical Specialists)
• Ihc Health Services Inc (Holladay Allergy and Dermatology)
• Ihc Health Services Inc (Holladay Pediatrics)
• Ihc Health Services Inc (IMED Campus Sleep Program)
• Ihc Health Services Inc (Intermountain Hospitalists)
• Ihc Health Services Inc (Precision Genomic Cancer Research Clinic)
• Ihc Health Services Inc (Intermountain Health Intensive Outpatient Mental Health)
• Ihc Health Services Inc (Cottonwood Podiatry)

• Internal Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.