NPIMap

Organization Active NPI

Comprehensive Interventional Care Centers, PLLC

  • Vascular & Interventional Radiology Physician
  • Murray, UT
National Provider Identifier
1568965697
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Practice address
5343 S Woodrow St Ste 100
Murray, UT 84107-5885
Phone
(801) 810-2999
Fax
(801) 396-9157
NPI assigned
Mar 15, 2018
Organization subpart
Yes
Parent organization
COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
John J Brennan
Title
Credentialing
Phone
(520) 322-6274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X Primary

Addresses

Primary practice location

5343 S Woodrow St Ste 100
Murray, UT 84107-5885

Mailing address

4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Phone (480) 374-7354

Other practice location 1

838 W Elliot Rd Ste 101
Gilbert, AZ 85233-5162
Phone (480) 374-7354

Other names 2

  • CIC - Utah Doing business as
  • Comprehensive Interventional Care Centers, PLLC - Utah Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comp Int Care CTRS PLLC4 organizations share this tax ID, including this one
Part of
Comp Int Care CTRS PLLC

Other organizations with this tax ID 3

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

Locations

5343 S Woodrow St
Ste 100
Murray, UT 84107
Phone (801) 791-5710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1568965697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342744",
            "telephone_number": "480-374-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5343 S WOODROW ST STE 100",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075885",
            "telephone_number": "801-810-2999",
            "fax_number": "801-396-9157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 W Elliot Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335162",
            "country_code": "US",
            "telephone_number": "480-374-7354",
            "fax_number": "480-371-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "520-322-6274"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CIC - Utah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Interventional Care Centers, PLLC - Utah",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Interventional Care Centers, PLLC - Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.