Twin Peaks Medical P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

268117-0501 Issued in UT

Legal business name

TWIN PEAKS MEDICAL P.C.

Practice address

5117 W 8180 S
West Jordan, UT 84081-5922

Phone

(801) 879-4982

Fax

(801) 446-1474

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Jeffrey D Johnson, MDNPI 1447323886

Title

Owner

Phone

(801) 879-4982

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 5

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

• Jeffrey Don Johnson, DPM MS

  • Foot & Ankle Surgery Podiatrist
  • South Jordan, UT
  • NPI 1447323886
  Medicare reassignment Authorized official
• Emily Anderson

  • Recreation Therapist
  • Taylorsville, UT
  • NPI 1245083849
  NPD (past)
• Paul Norman Daniels, DPM

  • Foot & Ankle Surgery Podiatrist
  • Salt Lake City, UT
  • NPI 1760499180
  NPD (past)
• Edith A Shepherd, APRN LLC

  • Adult Health Nurse Practitioner
  • Herriman, UT
  • NPI 1134457682
  NPD (past)
• Scott E Southworth, MD

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1972602910
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343520000000",
    "number": "1508079310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71043",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841710043",
            "telephone_number": "801-879-4982",
            "fax_number": "801-446-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 W 8180 S",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815922",
            "telephone_number": "801-879-4982",
            "fax_number": "801-446-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN PEAKS MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-879-4982",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "268117-0501",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dehki Tsering
• Laney Tuft
• Craig Turner, MD
• Madisenne Turner
• Jamie Ray Turrubiartez
• James Tyson, RN
• Ufmcs
• Joe Uharriet, MBA, PHD
• Christopher Paul Uhles, LCMHC
• Ultrasound Specialists, Inc.

• Podiatrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.