Mountainstar Cardiovascular Services LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC

Practice address

425 E 5350 S
Suite #350
Ogden, UT 84405-6946

Phone

(801) 476-6900

Fax

(801) 476-6991

NPI assigned

Nov 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kirt L Peterson

Title

Administrator

Phone

(801) 743-4750

Specialties & licenses 1

Addresses

Tax ID family

Mountainstar Cardiovascular Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountainstar Cardiovascular Services LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Orem, UT
  • NPI 1093996167
  NPD tax ID

Locations

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1639350705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "SUITE #350",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056946",
            "telephone_number": "801-476-6900",
            "fax_number": "801-476-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E 5350 S",
            "address_2": "SUITE #350",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056946",
            "telephone_number": "801-476-6900",
            "fax_number": "801-476-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINSTAR CARDIOVASCULAR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KIRT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-743-4750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain View Foot and Ankle Institute PC
• Mountain View Foot and Ankle Specialists Inc
• Mountain View Orthopedics and Sports Medicine LLC
• Mountain West Anesthesia LLC
• Mountainside Speech Therapy, LLC
• Mountainstar Medical Group-Ogden Regional Medical Center, LLC
• Mountainstar Ogden Pediatrics LLC
• Joshua Mower
• Moyes Iverson Dental LLC
• Brett K. Moyes, D.D.S.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.