Active NPI
Urology Clinic of Utah Valley LLC
- Urology Physician
- Provo, UT
National Provider Identifier
1639211972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY CLINIC OF UTAH VALLEY LLC
- Practice address
- 1055 N 300 W
Ste 316
Provo, UT 84604-3344 - Phone
- (801) 357-7530
- Fax
- (801) 357-7566
- NPI assigned
- Feb 13, 2007
- 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. Stewart T Landau, M.D
- Title
- President
- Phone
- (801) 357-7530
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary | ||
| Pediatric Urology Physician | 2088P0231X |
Addresses
Primary practice location
1055 N 300 W
Ste 316
Provo, UT 84604-3344
Mailing address
1055 N 300 W
Ste 316
Provo, UT 84604-3344
Phone (801) 357-7530
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190332800000",
"number": "1639211972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "STE 316",
"city": "PROVO",
"state": "UT",
"postal_code": "846043344",
"telephone_number": "801-357-7530",
"fax_number": "801-357-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "STE 316",
"city": "PROVO",
"state": "UT",
"postal_code": "846043344",
"telephone_number": "801-357-7530",
"fax_number": "801-357-7566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CLINIC OF UTAH VALLEY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2007-09-21",
"status": "A",
"authorized_official_last_name": "LANDAU",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-357-7530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2088P0231X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.