Organization Active NPI

Catholic Health Initiatives Colorado

Doing business as Ossl Ortho Sport SLC

  • Orthopaedic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1629771597
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CATHOLIC HEALTH INITIATIVES COLORADO
Doing business as
Ossl Ortho Sport SLC
Practice address
82 S 1100 E Ste 303
Salt Lake City, UT 84102-1891
Phone
(801) 533-2002
Fax
(801) 323-9546
NPI assigned
Mar 22, 2023
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Mrs. Angela J Skinner
Title
Administrator, Oma
Phone
(303) 673-7175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X

Addresses

Primary practice location

82 S 1100 E Ste 303
Salt Lake City, UT 84102-1891

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names 4

  • OSSL ORTHO SPORT SLC Doing business as
  • Comprehensive Orthopedics & Sports Medicine Salt Lake Other name
  • Comprehensive Orthopedics and Sports Medicine Other name
  • Orthopedics & Sports Medicine Salt Lake City Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230615001995 UT Part B Supplier - Clinic/Group Practice 8022927342 Receives reassigned benefits from 168 practitioners
This NPI is an additional NPI on the enrollment
Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT…

National Provider Directory

National Provider Directory

Locations

9815 S Monroe St
Ste 420
Sandy, UT 84070
Phone (801) 858-3715

3584 W 9000 S
Ste 209
West Jordan, UT 84088
Phone (801) 676-3776

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1629771597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104",
            "fax_number": "303-765-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 S 1100 E STE 303",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021891",
            "telephone_number": "801-533-2002",
            "fax_number": "801-323-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR, OMA",
        "authorized_official_telephone_number": "303-673-7175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSSL ORTHO SPORT SLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Orthopedics & Sports Medicine Salt Lake",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Comprehensive Orthopedics and Sports Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Orthopedics & Sports Medicine Salt Lake City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.