Jupiter Medical II LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JUPITER MEDICAL II LLC

Practice address

7724 S 5600 W Ste 102
West Jordan, UT 84081-5415

Phone

(801) 432-8480

Fax

(435) 731-8328

NPI assigned

Jun 27, 2017

Organization subpart

No

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

Authorized official

Name

Bryan Knepper

Title

Owner

Phone

(617) 571-3680

Specialties & licenses 2

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Stat MD LLC

  • Urgent Care Clinic/Center
  • Park City, UT
  • NPI 1225411473

  Member Of

  NPD member

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498521600000",
    "number": "1649790080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WHITE HILL RD",
            "city": "COLD SPRING HARBOR",
            "state": "NY",
            "postal_code": "117241211",
            "telephone_number": "617-571-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7724 S 5600 W STE 102",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840815415",
            "telephone_number": "801-432-8480",
            "fax_number": "435-731-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUPITER MEDICAL II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2017-06-27",
        "status": "A",
        "authorized_official_last_name": "KNEPPER",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-571-3680"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U000092310",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph E Morgan MD, PC
• Joyce Pritchard MD PC
• Joyful Horizon
• Emily Juarez
• Chelsi Jumper
• Jessica Justiniano
• Eivy Kakunes
• Ashley Dean Kammerman, COTA/L
• Mwajauma Kanyare
• Irene Karren

• Internal Medicine Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2017; 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.