Douglas J Lichti MD PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

1835651205 Issued in UT

Legal business name

DOUGLAS J LICHTI MD PC

Practice address

380 E 1500 S
Ste 201
Heber City, UT 84032-3940

Phone

(435) 657-2711

Fax

(435) 657-2716

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Douglas J Lichti, MD

Title

President

Phone

(435) 657-2711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1578900353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "STE 201",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-2711",
            "fax_number": "435-657-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S",
            "address_2": "STE 201",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-2711",
            "fax_number": "435-657-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J LICHTI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "LICHTI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-657-2711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "UT",
            "license": "1835651205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS DOB",
            "identifier": "10/27/1955",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francis Alexander Dolce
• Dorius Arch Dental (Dorius Dental Design)
• Jeffrey F Dorius, DDS
• Mark Kennedy Dorrough, DDS
• Vicki Lynn Doud, ACMHC
• Dr May PC (TimberRidge Dental)
• Dr Spence D Harper PC
• Dr. Cory B. Seitz O.D.,P.C. (Wasatch Vision Center)
• Jenniferlyn McGorty Droll, DPM
• Melissa Hylton Duke, FNP-C

• Surgery Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; 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.