Active NPI
Jason Robert Vanshaar, M.D.
- Family Medicine Physician
- Uintah, UT
National Provider Identifier
1497983076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9730453-1205
- Practice address
- 1831 E 6550 S
Uintah, UT 84405-9729 - Phone
- (385) 240-1963
- Fax
- (888) 747-8076
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9730453-1205 | UT | Primary |
| Family Medicine Physician | 207Q00000X | MD443492 | PA | |
| Family Medicine Physician | 207Q00000X | P3475 | TX |
Addresses
Primary practice location
1831 E 6550 S
Uintah, UT 84405-9729
Mailing address
1831 E 6550 S
Uintah, UT 84405-9729
Phone (385) 240-1963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170206001695 | UT | Practitioner - Family Practice | 2961650734 | Practice locations: Lehi, UT |
| I20250717002481 | AZ | Practitioner - Family Practice | 2961650734 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Temple University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Lehi, UT 84043
Phone (801) 341-8729
2775 W Crooked Stick Dr
Lehi, UT 84043-6521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD443492 | PA | MD | Family Medicine Physician |
| P3475 | TX | MD | Family Medicine Physician |
| 9730453-1205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center, Inc | Family Medicine | Current | Accepting new patients |
| HWP Med, L.L.C. | Family Medicine | Current | Accepting new patients |
| Marana Health Center Inc | Current | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients |
Locations
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
- Federally Qualified Health Center (FQHC)
- Marana, AZ
- NPI 1447263405
Family Medicine
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1497983076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 E 6550 S",
"city": "UINTAH",
"state": "UT",
"postal_code": "844059729",
"telephone_number": "385-240-1963",
"fax_number": "888-747-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 E 6550 S",
"city": "UINTAH",
"state": "UT",
"postal_code": "844059729",
"telephone_number": "385-240-1963",
"fax_number": "888-747-8076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSHAAR",
"first_name": "JASON",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "9730453-1205",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD443492",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "P3475",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Uintah, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.