NPIMap

Organization Active NPI

Douglas Schow Jr., M.D. a Professional Corporation

  • Orthopaedic Surgery Physician
  • Provo, UT
National Provider Identifier
1669507562
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
155556-1205 Issued in UT
Legal business name
DOUGLAS SCHOW JR., M.D. A PROFESSIONAL CORPORATION
Practice address
1055 N 300 W
Suite 203
Provo, UT 84604-3374
Phone
(801) 374-9053
Fax
(801) 357-7869
NPI assigned
Feb 22, 2007
Last updated
Apr 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Douglas Schow Jr., MDNPI 1811995004
Title
President
Phone
(801) 374-9053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 155556-1205 UT
Orthopaedic Surgery Physician 207X00000X 155556-1205 UT Primary

Addresses

Primary practice location

1055 N 300 W
Suite 203
Provo, UT 84604-3374

Mailing address

1055 N 300 W
Suite 203
Provo, UT 84604-3374
Phone (801) 374-9053

Other identifiers 1

IdentifierTypeStateIssuer
519542457009MedicaidUT

National Provider Directory

National Provider Directory

Locations

1055 N 300 W
Ste 203
Provo, UT 84604
Phone (801) 374-9053

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1669507562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 203",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-374-9053",
            "fax_number": "801-357-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W",
            "address_2": "SUITE 203",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043374",
            "telephone_number": "801-374-9053",
            "fax_number": "801-357-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS SCHOW JR., M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "SCHOW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-374-9053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "155556-1205",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "155556-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519542457009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.