Directmd, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DIRECTMD, LLC

Practice address

Salt Lake County Government Ctr
2001 South State Street, Ste S2400
Salt Lake City, UT 84190-0001

Phone

(801) 870-8500

Fax

(801) 467-8393

NPI assigned

Feb 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Gary J Mackelprang

Title

Managing Partner

Phone

(801) 870-8500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1578869954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840250671",
            "telephone_number": "801-870-8500",
            "fax_number": "801-939-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SALT LAKE COUNTY GOVERNMENT CTR",
            "address_2": "2001 SOUTH STATE STREET, STE S2400",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841900001",
            "telephone_number": "801-870-8500",
            "fax_number": "801-467-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "MACKELPRANG",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "801-870-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; 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.