Individual provider Active NPI

Sarah Serene Ruhiyyih Christianson, D.O.

  • Urology Physician
  • Murray, UT
National Provider Identifier
1669821559
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
12868370-1204 Issued in UT
Practice address
5171 S Cottonwood St Ste 720
Murray, UT 84107-5741
Phone
(801) 507-3400
NPI assigned
Jun 10, 2016
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 12868370-1204 UT Primary

Addresses

Primary practice location

5171 S Cottonwood St Ste 720
Murray, UT 84107-5741

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210628002768 PA Practitioner - Urology 5496156457 Reassigns benefits to 2 organizations
I20230203001987 UT Practitioner - Urology 5496156457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5171 S Cottonwood St
Suite 720
Murray, UT 84107-5741
Phone (801) 507-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12868370-1204UTMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 28, 2022 Accepting new patients
Delta Medix PC CurrentSince Jul 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Urology CurrentSince Jul 1, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Oct 28, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jul 1, 2021 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Vascular Diagnostic Center PC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

515 Pennsylvania Ave
Ft Washington, PA 19034
Phone (215) 641-0700

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

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

5171 S Cottonwood St
Ste 720
Salt Lake City, UT 84107
Phone (801) 507-3400

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1669821559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-507-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 720",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075741",
            "telephone_number": "801-507-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "SARAH",
        "middle_name": "SERENE RUHIYYIH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "12868370-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.