Active NPI
Spencer W Galt, MD
- Vascular Surgery Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 29506-1205
- Practice address
- 5323 S. Woodrow Street
#102
Murray, UT 84107 - Phone
- (801) 713-1010
- Fax
- (810) 713-0665
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD422280 | PA | |
| Vascular Surgery Physician | 2086S0129X | 29506-1205 | UT | Primary |
Addresses
Primary practice location
5323 S. Woodrow Street
#102
Murray, UT 84107
Mailing address
5444 Green St
Murray, UT 84123-5632
Phone (801) 713-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001956538 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29506-1205 | UT | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Mountain Medical Physician Specialists PC | Vascular Surgery | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Central Utah Radiology, PC | Past | Accepting new patients | |
| MMPS Murray | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346
5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647
5334 S Woodrow St
#100
Salt Lake City, UT 84107
Phone (801) 284-1702
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Diagnostic Radiology Physician
- Murray, UT
- NPI 1720035520
Vascular Surgery
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- St George, UT
- NPI 1417238601
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Diagnostic Radiology Physician
- Nephi, UT
- NPI 1548261290
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1427005586
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1598733586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-713-1010",
"fax_number": "810-713-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 S. WOODROW STREET",
"address_2": "#102",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-713-1010",
"fax_number": "810-713-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALT",
"first_name": "SPENCER",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD422280",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "UT",
"license": "29506-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001956538",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
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 May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.