Utah Cancer Institute, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

90182397-1205 Issued in UT

Legal business name

UTAH CANCER INSTITUTE, LLC

Practice address

1220 E 3900 S
Suite 4F
Salt Lake City, UT 84124-1377

Phone

(801) 268-8223

NPI assigned

Feb 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Kim, MD

Title

Director

Phone

(801) 268-8223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1487976866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "SUITE 4F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241377",
            "telephone_number": "801-268-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "SUITE 4F",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241377",
            "telephone_number": "801-268-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH CANCER INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "801-268-8223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "90182397-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utah Accident and Injury, PLLC
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• Utah Bone & Joint Center LC
• Utah Bone and Joint Specialists LLC
• Utah Cancer Specialists PC
• Utah Cancer Specialists PC
• Utah Carenow Urgent Care, LLC
• Utah Center for Couples and Families, PLLC
• Utah Center for Evidence Based Treatment

• Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.