Layton Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LAYTON FAMILY PRACTICE LLC

Practice address

2950 N Church St Ste 200
Layton, UT 84040-6590

Phone

(801) 771-7700

Fax

(801) 771-7799

NPI assigned

Dec 13, 2006

Last updated

Oct 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Tedrick Johnson

Title

Group VP/Ao

Phone

(615) 372-3375

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Karen Hauenstein, PA-C

  • Physician Assistant
  • Layton, UT
  • NPI 1558316349
  NPD (past)
• Ryan R Horning, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1497752372

  Family Medicine

  NPD (past)
• Traysa S Smith, PA-C

  • Physician Assistant
  • Ogden, UT
  • NPI 1881755817
  NPD (past)
• Brad Rodney Larsen, P.A.

  • Medical Physician Assistant
  • Pflugerville, TX
  • NPI 1063430890
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1538220306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-373-7600",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N CHURCH ST STE 200",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840406590",
            "telephone_number": "801-771-7700",
            "fax_number": "801-771-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "GROUP VP/AO",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538220306",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Layton Ambulatory Anesthesia, Inc
• Layton Chiropractic & Accident Rehabilitation
• Layton Chiropractic Clinic, P.C.
• Layton City Corporation
• Layton Family Medicine
• Layton Hills Chiropractic
• Layton Oral Surgery, P.C.
• Layton Park Memory Care
• Layton Park Memory Care
• Layton Physical Therapy & Sports Medicine Inc

• Family Medicine Physician in Layton, UT
• Providers in Layton, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.