Active NPI
Emergency Physicians Integrated Care, LLC
- Emergency Medical Services (Emergency Medicine) Physician
- Salt Lake City, UT
National Provider Identifier
1669562419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- EMERGENCY PHYSICIANS INTEGRATED CARE, LLC
- Practice address
- 2500 S State St
Salt Lake City, UT 84115-3110 - Phone
- (801) 461-6666
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Parker Jr.
- Title
- Cea
- Phone
- (801) 463-7415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary |
Addresses
Primary practice location
2500 S State St
Salt Lake City, UT 84115-3110
Mailing address
370 E South Temple
Salt Lake City, UT 84111-1206
Phone (801) 463-7415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031115000013 | UT | Part B Supplier - Clinic/Group Practice | 4284548116 |
Receives reassigned benefits from 393 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Payson, UT; Pleasant View, UT; Roy, UT; Salt Lake City, UT; Syracuse, UT; Taylorsville, UT; Tooele, UT; West Jordan, UT… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bountiful, UT
- NPI 1255366886
O20031115000013
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1578598199
O20031115000013
National Provider Directory
National Provider DirectoryLocations
370 E South Temple
Salt Lake Cty, UT 84111
Phone (385) 212-4195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669562419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 E SOUTH TEMPLE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111206",
"telephone_number": "801-463-7415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S STATE ST",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841153110",
"telephone_number": "801-461-6666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY PHYSICIANS INTEGRATED CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CEA",
"authorized_official_telephone_number": "801-463-7415",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.