Mark Miles Passey MD PC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

81-167082-1205 Issued in UT

Legal business name

MARK MILES PASSEY MD PC

Practice address

5872 S 900 E
250
Salt Lake City, UT 84121-1676

Phone

(801) 314-2308

NPI assigned

Jan 29, 2014

Organization subpart

No

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

Authorized official

Name

Mark Miles Passey, M.D.

Title

President

Phone

(801) 314-2308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1548683410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 W BROADWAY APT 2001",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012015",
            "telephone_number": "801-314-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5872 S 900 E",
            "address_2": "250",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211676",
            "telephone_number": "801-314-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MILES PASSEY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "PASSEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-314-2308",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "UT",
            "license": "81-167082-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Guadalupe Marin
• Erica Marini
• Joy Elaine Marino, R.N.
• Lori Michelle Marino, RN
• Penny Michelle Marinos
• Arwen Michelle Marker, PHD
• Boaz Alexander Markewitz, MD
• Veronique Markewitz
• Brandon Markle
• Edwin M. Marks, M.D.

• Pain Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pain Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.