Individual provider Active NPI

Spencer E. Richards, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Bountiful, UT
National Provider Identifier
1609845775
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
58953691205 Issued in UT
Practice address
280 N Main St
Bountiful, UT 84010-6136
Phone
(801) 298-2495
Fax
(801) 298-2801
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 58953691205 UT
Sports Medicine (Family Medicine) Physician 207QS0010X 58953691205 UT Primary

Addresses

Primary practice location

280 N Main St
Bountiful, UT 84010-6136

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 298-2495

Other identifiers 1

IdentifierTypeStateIssuer
942854058788-D6150MedicaidUT

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621001262 UT Practitioner - Sports MedicinePractitioner - Family Practice 0143265025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Utah School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

280 N Main St
Bountiful, UT 84010-6136
Phone (801) 298-2495

700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58953691205UTMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Jan 1, 2007 Accepting new patients
Ihc Health Services Inc CurrentSince Jan 1, 2007 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

425 Medical Dr
#220
Bountiful, UT 84010
Phone (801) 292-7288

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

2075 University Park Blvd
Layton, UT 84041
Phone (801) 367-2775

280 N Main St
N Salt Lake, UT 84010
Phone (801) 270-4400

4403 Harrison Blvd
Ste 4600
Ogden, UT 84403
Phone (801) 387-4500

4403 Harrison Blvd
Ste 4875
Ogden, UT 84403
Phone (801) 387-4500

2400 N Washington Blvd
Ogden, UT 84414
Phone (801) 387-8300

1665 Bonanza Dr
Park City, UT 84060
Phone (435) 649-7640

475 W 940 N
Provo, UT 84604
Phone (801) 357-7909

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

5848 S Fashion Blvd
Ste 120
Salt Lake City, UT 84107
Phone (801) 314-4100

324 Tenth Ave
Ste 100
Slc, UT 84103
Phone (801) 408-5735

975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1609845775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-298-2495",
            "fax_number": "801-298-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106136",
            "telephone_number": "801-298-2495",
            "fax_number": "801-298-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "SPENCER",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "UT",
            "license": "58953691205",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "UT",
            "license": "58953691205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942854058788-D6150",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.