Individual provider Active NPI

Jason Robert Vanshaar, M.D.

  • Family Medicine Physician
  • Uintah, UT
National Provider Identifier
1497983076
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9730453-1205 Issued in UT
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

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD443492PAMDFamily Medicine Physician
P3475TXMDFamily Medicine Physician
9730453-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center, Inc Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
HWP Med, L.L.C. Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Marana Health Center Inc CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.