North Canyon Family Medicine and Aesthetics LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC

Practice address

3263 S Highway 89
Suite 300
Bountiful, UT 84010-8555

Phone

(801) 296-0600

Fax

(801) 298-0661

NPI assigned

Sep 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Brandon F. Jones

Title

Partner

Phone

(801) 505-0820

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Amazing Medical Associates, Inc

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1487836532

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen R Tucker, M.D.

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1538179247
  NPD (past)
• Charles D. White, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1366486805
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1487963112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WEST 200 SOUTH",
            "address_2": "SUITE 3006",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841011259",
            "telephone_number": "801-451-6060",
            "fax_number": "801-363-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3263 S HIGHWAY 89",
            "address_2": "SUITE 300",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108555",
            "telephone_number": "801-296-0600",
            "fax_number": "801-298-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-505-0820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Nilsson, M.S., CCC-SLP
• Ryan Nimer, DO
• Raquel Da Silva Nixon
• Clover Noel
• Janet Louise Norman, R.PH.
• Spencer Keith Noyce
• Abigail O'Neill
• La Ree Coleen O'Reilly, LCSW
• Oak Ridge Assisted Living of Bountiful
• Joshua Brad Oaks, M.D.

• Family Medicine Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.