NPIMap

Organization Active NPI

Amazing Medical Associates, Inc

Doing business as AMG Senior Medical Group

  • Multi-Specialty Clinic/Center
  • Murray, UT
National Provider Identifier
1487836532
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
AMAZING MEDICAL ASSOCIATES, INC
Doing business as
AMG Senior Medical Group
Practice address
434 W Ascension Way Ste 225
Murray, UT 84123
Phone
(801) 716-7008
Fax
(888) 990-1557
NPI assigned
Nov 30, 2007
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Mr. Nathan Blasier
Title
Chief Operating Officer
Phone
(801) 716-7008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Medicine Physician 207Q00000X 311210-1205 UT

Addresses

Primary practice location

434 W Ascension Way Ste 225
Murray, UT 84123

Mailing address

434 W Ascension Way Ste 225
Murray, UT 84123-2790
Phone (801) 716-7008

Other names 1

  • AMG Senior Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040117000199 UT Part B Supplier - Clinic/Group Practice 5991606329 Receives reassigned benefits from 35 practitioners
Practice locations: Murray, UT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

434 W Ascension Way
Ste 225
Salt Lake City, UT 84123
Phone (801) 716-7008

440 Medical Dr
Ste 2
West Bountiful, UT 84010
Phone (801) 294-0191

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1487836532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 225",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841232790",
            "telephone_number": "801-716-7008",
            "fax_number": "888-990-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 W ASCENSION WAY STE 225",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84123",
            "telephone_number": "801-716-7008",
            "fax_number": "888-990-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "BLASIER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "801-716-7008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "311210-1205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMG Senior Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.