Active NPI
Ihc Health Services Inc
Doing business as Sandy ENT
- Otolaryngology Physician
- Sandy, UT
National Provider Identifier
1639200140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 73201
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- Sandy ENT
- Practice address
- 9690 S 1300 E
#200
Sandy, UT 84094-3721 - Phone
- (801) 501-4310
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 31, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda C Leckman, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 73201 | UT | Primary |
Addresses
Primary practice location
9690 S 1300 E
#200
Sandy, UT 84094-3721
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 501-4310
Other names 1
- Sandy ENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000079 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 1,923 practitioners This NPI is an additional NPI on the enrollment |
| O20080610000303 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1639200140",
"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": "801-501-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9690 S 1300 E",
"address_2": "#200",
"city": "SANDY",
"state": "UT",
"postal_code": "840943721",
"telephone_number": "801-501-4310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "LECKMAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
"authorized_official_telephone_number": "801-442-3974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "UT",
"license": "73201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sandy ENT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sandy, UT
- Ihc Health Services Inc (Alta View Senior Clinic)
- Ihc Health Services Inc (Alta View Hospital Outpatient Pharmacy)
- Ihc Health Services Inc (Alta View InstaCare)
- Ihc Health Services Inc (Alta View Clinic Internal Medicine)
- Ihc Health Services Inc (Sandy Radiology)
- Ihc Health Services Inc (Alta View Sleep Program)
- Ihc Health Services Inc (Alta View Clinic Podiatry)
- Ihc Health Services Inc (Alta View Hospital Physicians)
- Ihc Health Services Inc (Alta View Maternal Fetal Medicine)
- Ihc Health Services Inc (Mountain View Pediatrics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.