Chad Jarvis, DA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57467031206 Issued in UT

Practice address

2356 N 400 E
Ste 201
Tooele, UT 84074

Phone

(435) 882-2350

Fax

(435) 882-2039

NPI assigned

Jul 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain West Family Practice LLCGroup PAC ID 6406813070, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain West Medical Center Hospital, Tooele, UT, CCN 460014

Merit-based Incentive Payment System (MIPS)

Final score

77.74 of 100Reported as group

Quality

63.3

Promoting interoperability

98

Improvement activities

40

Cost

64.15

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jarvisc@yourcarecommunity.org

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.

• Mountain West Family Practice LLC

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1770581605
  Medicare reassignment Care Compare group
• Tooele Orthopedics & Sports Medicine Specialists

  • Orthopaedic Surgery Physician
  • Tooele, UT
  • NPI 1467581173
  Medicare reassignment
• Deseret Peak Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Tooele, UT
  • NPI 1518972280
  NPD (past)

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

• Tooele Hospital Corporation

  • General Acute Care Hospital
  • Tooele, UT
  • NPI 1124090659
  Care Compare affiliation

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1619974664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-2350",
            "fax_number": "435-882-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2356 N 400 E",
            "address_2": "STE 201",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "84074",
            "telephone_number": "435-882-2350",
            "fax_number": "435-882-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "CHAD",
        "credential": "DA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "57467031206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrate Psychotherapy PLLC
• Itooth, LLC
• Mark R. Jackson, MD
• Lu Ann Jacobs-Peterson, APRN FNP
• Carin Renee James
• Jay M. Spector,M.D.,LLC
• Jed C Winder OD, PC
• Candice Jemison
• Jeramy Rawn Jenkins, AU.D., CCC-A
• Suzanne Renee Jenkins, RRT

• Physician Assistant in Tooele, UT
• Providers in Tooele, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.