Individual provider Active NPI

Tamara Stein Jensen, MD

  • General Practice Physician
  • Holladay, UT
National Provider Identifier
1669631826
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
7352414-1205 Issued in UT
Practice address
4141 S Highland Dr Ste 204
Holladay, UT 84124-2642
Phone
(801) 998-8701
NPI assigned
Jun 3, 2008
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7352414-1205 UT
General Practice Physician 208D00000X 7352414-1205 UT Primary

Addresses

Primary practice location

4141 S Highland Dr Ste 204
Holladay, UT 84124-2642

Mailing address

295 Chipeta Way
Salt Lake City, UT 84108-1287
Phone (801) 587-7450

Other names 1

  • Dr. Tamara Stein Former name

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
I20091208000288 UT Practitioner - General PracticePractitioner - Pediatric Medicine 2961541719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Tulane University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4141 S Highland Dr
Suite 204
Holladay, UT 84124-2642
Phone (801) 998-8701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7352414-1205UTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Multi-Specialty CurrentSince Dec 16, 2013 Accepting new patients
Ihc Health Services Inc Multi-Specialty CurrentSince Dec 16, 2013 Accepting new patients
RT Health, LLC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Ihc Health Services Inc Multi-Specialty Current Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3723 W 12600 S
Ste 150
Riverton, UT 84065
Phone (801) 285-4560

181 E Medical Tower Dr
Salt Lake City, UT 84107
Phone (801) 314-4266

4141 S Highland Dr
Ste 204
Salt Lake City, UT 84124
Phone (215) 806-0030

9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

2000 S 900 E
Slc, UT 84105
Phone (801) 446-7786

3845 W 4700 S
West Valley City, UT 84129
Phone (801) 840-2020

Organizations & group practices 4

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1669631826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 CHIPETA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081287",
            "telephone_number": "801-587-7450",
            "fax_number": "801-587-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S HIGHLAND DR STE 204",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841242642",
            "telephone_number": "801-998-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "TAMARA",
        "middle_name": "STEIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "7352414-1205",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "7352414-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "STEIN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.