NPIMap

Organization Active NPI

Utah Podiatric Physicians and Surgeons Group

  • Foot & Ankle Surgery Podiatrist
  • Highland, UT
National Provider Identifier
1538698451
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
7899779-0501 Issued in UT
Legal business name
UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP
Practice address
10290 N North County Blvd Ste 103
Highland, UT 84003-6012
Phone
(801) 756-1800
NPI assigned
Jun 5, 2017
Organization subpart
Yes
Parent organization
UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Laura Day
Title
Ceo
Phone
(515) 867-0937

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 7899779-0501 UT
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X 7899779-0501 UT
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 7899779-0501 UT Primary

Addresses

Primary practice location

10290 N North County Blvd Ste 103
Highland, UT 84003-6012

Mailing address

144 S 700 E
Salt Lake City, UT 84102-1357
Phone (801) 532-1822

Other names 1

  • Utah Musculoskeletal Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170620000356 UT DME Supplier - Physician - Podiatry 4183946940 Practice locations: Highland, UT

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Utah Podiatric Physicians and Surgeons Group LLC8 organizations share this tax ID, including this one
Part of
Utah Podiatric Physicians and Surgeons Group LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1538698451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021357",
            "telephone_number": "801-532-1822",
            "fax_number": "801-527-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 N NORTH COUNTY BLVD STE 103",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840036012",
            "telephone_number": "801-756-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC",
        "enumeration_date": "2017-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "515-867-0937"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "7899779-0501",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "7899779-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "7899779-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Musculoskeletal Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.