Organization Active NPI

Michael Munford MD PC

  • Surgery Physician
  • Cedar City, UT
National Provider Identifier
1518083708
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MICHAEL MUNFORD MD PC
Practice address
166 W 1325 N
350
Cedar City, UT 84721-7796
Phone
(435) 586-8192
Fax
(435) 586-7564
NPI assigned
Mar 21, 2007
Last updated
Dec 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Michael I Munford, M.D.NPI 1164494076
Title
Pres
Phone
(435) 586-8192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

166 W 1325 N
350
Cedar City, UT 84721-7796

Mailing address

166 W 1325 N
350
Cedar City, UT 84721-7796
Phone (435) 586-8192

Other identifiers 1

IdentifierTypeStateIssuer
528150053009MedicaidUT

Other names 1

  • TOOELE SURGICAL ASSOCIATES Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051107001211 UT Part B Supplier - Clinic/Group Practice 5698793784 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory

Locations

1251 Northfield Rd
Ste 202
Cedar City, UT 84721
Phone (435) 688-8991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1518083708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "350",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217796",
            "telephone_number": "435-586-8192",
            "fax_number": "435-586-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 W 1325 N",
            "address_2": "350",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847217796",
            "telephone_number": "435-586-8192",
            "fax_number": "435-586-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MUNFORD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "MUNFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "435-586-8192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528150053009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOOELE SURGICAL ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.