Organization Active NPI

Cutting Edge Medicine LLC

  • General Practice Physician
  • Provo, UT
National Provider Identifier
1558094854
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CUTTING EDGE MEDICINE LLC
Practice address
883 S 1540 E
Provo, UT 84606-6743
Phone
(907) 982-7488
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Remmington Campbell, MBAHC
Title
Owner
Phone
(907) 982-7488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

883 S 1540 E
Provo, UT 84606-6743

Mailing address

883 S 1540 E
Provo, UT 84606-6743
Phone (907) 982-7488

Other names 2

  • The Neuropathy Clinic Doing business as
  • The Wound Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1558094854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 S 1540 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066743",
            "telephone_number": "907-982-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 S 1540 E",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846066743",
            "telephone_number": "907-982-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTTING EDGE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "REMMINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-982-7488",
        "authorized_official_credential": "MBAHC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neuropathy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wound Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.