Individual provider Active NPI

Erik Jon Natkin, D.O.

  • General Practice Physician
  • Murray, UT
National Provider Identifier
1528299542
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9006473-1204 Issued in UT
Practice address
4541 South 700 East
Suite 100
Murray, UT 84107
Phone
(801) 713-1560
NPI assigned
Aug 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9006473-1204 UT Primary
Student in an Organized Health Care Education/Training Program 390200000X TL3403 CO

Addresses

Primary practice location

4541 South 700 East
Suite 100
Murray, UT 84107

Mailing address

4541 South 700 East
Suite 100
Murray, UT 84107
Phone (801) 713-1560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161209000021 CO Practitioner - Pain Management 6800012261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
TL3403COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Pain Management Associates CurrentSince Mar 20, 2017 Accepting new patients
Pain Management Professionals LLC General Practice Past Accepting new patients

Locations

3464 S Willow St
Ste 537
Denver, CO 80231

1873 S Bellaire St
Ste 1215
Denver, CO 80222
Phone (303) 358-0073

7447 E Berry Ave
Ste 150
Greenwood Village, CO 80111
Phone (303) 689-2300

Organizations & group practices 2

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": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1528299542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 SOUTH 700 EAST",
            "address_2": "SUITE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-713-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 SOUTH 700 EAST",
            "address_2": "SUITE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "801-713-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATKIN",
        "first_name": "ERIK",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-07",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "9006473-1204",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL3403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.