NPIMap

Organization Active NPI

Kelson Physijcian Partners of Layton, Inc

Doing business as Wee Care Pediatrics

  • Pediatrics Physician
  • Roy, UT
National Provider Identifier
1659641868
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KELSON PHYSIJCIAN PARTNERS OF LAYTON, INC
Doing business as
Wee Care Pediatrics
Practice address
4040 South Midland Dr
Suite 2
Roy, UT 84067
Phone
(801) 773-8644
Fax
(801) 927-1591
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. Matt West
Title
Coo/Administrator
Phone
(801) 927-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

4040 South Midland Dr
Suite 2
Roy, UT 84067

Mailing address

2086 N 1700 W
Suite C
Layton, UT 84041
Phone (801) 773-8644

Other names 1

  • Wee Care Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kelson Physician Partners of Layton Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4040 Midland Dr
#2
Roy, UT 84067

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1659641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 N 1700 W",
            "address_2": "SUITE C",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84041",
            "telephone_number": "801-773-8644",
            "fax_number": "801-927-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 SOUTH MIDLAND DR",
            "address_2": "SUITE 2",
            "city": "ROY",
            "state": "UT",
            "postal_code": "84067",
            "telephone_number": "801-773-8644",
            "fax_number": "801-927-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELSON PHYSIJCIAN PARTNERS OF LAYTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "COO/ADMINISTRATOR",
        "authorized_official_telephone_number": "801-927-1571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wee Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.