Mountain View Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

158641-1205 Issued in UT

Legal business name

MOUNTAIN VIEW MEDICAL

Practice address

124 S Fairfield Rd
Layton, UT 84041

Phone

(801) 774-8888

Fax

(801) 825-8519

NPI assigned

Sep 1, 2006

Reactivated

Jul 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Nelson L Astle, MD

Title

Physician

Phone

(801) 774-8888

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1649372723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 W 1800 N",
            "address_2": "PMB 413",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "84015",
            "telephone_number": "801-774-8888",
            "fax_number": "801-825-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S FAIRFIELD RD",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-774-8888",
            "fax_number": "801-825-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-23",
        "deactivation_date": "2007-07-18",
        "reactivation_date": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "ASTLE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-774-8888",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "158641-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529601383012",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Moss
• Tamara Moultrie
• Mountain Valley
• Mountain Valley
• Mountain View Eye Center Professional Corporation
• Mountain View Pediatric Dentistry of Layton
• Mountain West Anesthesia LLC
• Mountainside Counseling Services
• Mountainside Neurotherapy
• Robelena Mowatt

• Family Medicine Physician in Layton, UT
• Providers in Layton, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.