US Air Force

Primary specialty

Military HospitalTaxonomy code 286500000X

License

590260-1205 Issued in UT

Legal business name

US AIR FORCE

Practice address

831 W 1280 S
Provo, UT 84601-6518

Phone

(801) 373-9947

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

David Jason Cassat, MD

Title

Famliy Practice

Phone

(801) 373-9947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1619145455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 W 1280 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846016518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 W 1280 S",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846016518",
            "telephone_number": "801-373-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US AIR FORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "CASSAT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "FAMLIY PRACTICE",
        "authorized_official_telephone_number": "801-373-9947",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "UT",
            "license": "590260-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Provo, UT
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• Military Hospital in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.