Active NPI
Layne Lloyd, MD
- Family Medicine Physician
- Midvale, UT
National Provider Identifier
1659319531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M9216
- Practice address
- 1225 Fort Union Blvd
Suite 200
Midvale, UT 84047-1889 - Phone
- (801) 233-4400
- Fax
- (801) 233-4410
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M9216 | ID | Primary |
Addresses
Primary practice location
1225 Fort Union Blvd
Suite 200
Midvale, UT 84047-1889
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 233-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807102300 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9216 | ID | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1659319531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-233-4400",
"fax_number": "801-233-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 FORT UNION BLVD",
"address_2": "SUITE 200",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840471889",
"telephone_number": "801-233-4400",
"fax_number": "801-233-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "LAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-03",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M9216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807102300",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.