Organization Active NPI

Wasatch Infusion

  • Specialist
  • Murray, UT
National Provider Identifier
1649561879
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149834-1205 Issued in UT
Legal business name
WASATCH INFUSION
Practice address
348 E 4500 S
Suite 220
Murray, UT 84107-3906
Phone
(801) 577-7055
Fax
(888) 717-7578
NPI assigned
Apr 21, 2011
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Janice Shorr
Title
Office Manager
Phone
(801) 577-7055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 149834-1205 UT Primary

Addresses

Primary practice location

348 E 4500 S
Suite 220
Murray, UT 84107-3906

Mailing address

348 E 4500 S
Suite 220
Murray, UT 84107-3906
Phone (801) 577-7055

National Provider Directory

National Provider Directory

Locations

295 S 1470 E
Ste 101
St George, UT 84790
Phone 80157770551961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1649561879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 220",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "801-577-7055",
            "fax_number": "888-717-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 E 4500 S",
            "address_2": "SUITE 220",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841073906",
            "telephone_number": "801-577-7055",
            "fax_number": "888-717-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "SHORR",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-577-7055"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "149834-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.