Medically Directed Care Clinic

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

MEDICALLY DIRECTED CARE CLINIC

Doing business as

MDC Clinic

Practice address

4465 S 900 E Ste 275
Millcreek, UT 84124-2644

Phone

(385) 213-0086

Fax

(385) 508-3796

NPI assigned

Apr 19, 2024

Organization subpart

No

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

Authorized official

Name

Mariana Garcia

Title

Clinic Director

Phone

(801) 560-2520

Specialties & licenses 1

Addresses

Other names 1

• MDC Clinic Doing business as

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1497500714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 275",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841242644",
            "telephone_number": "385-213-0086",
            "fax_number": "385-508-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 S 900 E STE 275",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841242644",
            "telephone_number": "385-213-0086",
            "fax_number": "385-508-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALLY DIRECTED CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "801-560-2520"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDC Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruby Caroline Maw, RBT
• Shea Zanolli McBride, DNP-FNP-C
• Nicholas Blaise McDonald
• Nathan David McNeil, D.C.
• Christopher McNerney, PT, DPT
• Melissa Erin Mehan, LCSW
• Richard Merrill, LMT
• Madeline Meyer
• Kyleigh Mickolick
• Nicole Lenore Mihalopoulos, MD

• Pain Clinic/Center in Millcreek, UT
• Providers in Millcreek, UT by specialty
• Pain Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.