Individual provider Active NPI

Nicholas Kay Howland, M.D.

  • Plastic Surgery Physician
  • Draper, UT
National Provider Identifier
1659666295
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
6026166-1205 Issued in UT
Practice address
11762 S State St Ste 220
Draper, UT 84020-7156
Phone
(801) 571-2020
Fax
(801) 571-6899
NPI assigned
Jun 11, 2011
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 6026166-1205 UT Primary

Addresses

Primary practice location

11762 S State St Ste 220
Draper, UT 84020-7156

Mailing address

11762 S State St Ste 220
Draper, UT 84020-7156
Phone (801) 571-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720000881 UT Practitioner - Plastic and Reconstructive Surgery 1658641816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11762 S State St
Suite 220
Draper, UT 84020-7156
Phone (801) 511-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6026166-1205UTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 8, 2019 Accepting new patients
Premier Plastic Surgery Group of Utah CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Apr 8, 2019 Accepting new patients
Premier Plastic Surgery Group of Utah, L.L.C. Current Accepting new patients

Locations

11762 S State St
Ste 220
Draper, UT 84020
Phone (801) 523-6177

1220 E 3900 S
Ste 4I
Salt Lake Cty, UT 84124
Phone (801) 263-1621

5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

9829 S 1300 E
Ste 200
Sandy, UT 84094
Phone (801) 571-2020

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1307750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1659666295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 220",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207156",
            "telephone_number": "801-571-2020",
            "fax_number": "801-571-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11762 S STATE ST STE 220",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207156",
            "telephone_number": "801-571-2020",
            "fax_number": "801-571-6899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWLAND",
        "first_name": "NICHOLAS",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-11",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "6026166-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.