Mountainstar Medical Group Neurosurgery - St Marks LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY - ST MARKS LLC

Practice address

1220 E 3900 S
Ste. 4-E
Salt Lake City, UT 84124-1377

Phone

(801) 261-8507

Fax

(801) 261-8507

NPI assigned

Jun 24, 2011

Last updated

Aug 29, 2023By 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

Louis Joseph

Title

VP

Phone

(615) 373-7630

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northern Utah Healthcare Corporation

  dba St. Mark's Hospital

  • Rehabilitation Hospital Unit
  • Salt Lake City, UT
  • NPI 1972879609

  Member Of

  NPD member

Locations

Practitioners 7

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.

• Lissa Anne Hutchings, NP-C

  • Family Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1740797257
  Medicare reassignment Care Compare group NPD
• Matthew Wayne Jarvis, DNP

  • Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1366964728
  Medicare reassignment Care Compare group NPD
• Katherine Renae Tingey, DNP-FNP

  • Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1316702806
  Medicare reassignment Care Compare group NPD
• Edward Parry, NP

  • Family Nurse Practitioner
  • Vineyard, UT
  • NPI 1104370436
  Medicare reassignment NPD
• Robert Kenneth Hurst, NP-C

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1639488950
  NPD
• Kevin Brantley Wise, MD

  • Surgery Physician
  • Millcreek, UT
  • NPI 1427344233
  NPD
• Richard H Schwartz, MD

  • Neurological Surgery Physician
  • Salt Lake City, UT
  • NPI 1336148063
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1578859831",
    "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": "615-373-7406",
            "fax_number": "866-346-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "STE. 4-E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241377",
            "telephone_number": "801-261-8507",
            "fax_number": "801-261-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTAR MEDICAL GROUP NEUROSURGERY - ST MARKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain West Evaluation & Therapy Services
• Mountain West Hearing and Speech
• Lisa M Mountain, PH.D.
• Mountainstar Cardiology St Marks LLC (Heart Center at St Mark's)
• Mountainstar Cardiovascular Services LLC (MountainStar Cardiovascular Surgery)
• Mountainstar Medical Group-St. Marks Hospital, LLC
• Mountainstar Specialty Services LLC
• Shanalee E. Mountan, MD
• Allison Renee Mounts
• Claudia Mousques

• Neurological Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Neurological Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.