Provas of Provo

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

PROVAS OF PROVO

Practice address

320 River Park Dr Ste 215
Provo, UT 84604-6065

Phone

(801) 689-3246

Fax

(801) 689-3277

NPI assigned

Sep 24, 2020

Organization subpart

No

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

Authorized official

Name

John J Hewett, MD

Title

President

Phone

(801) 689-3246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1679180509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 CHAMBERS ST STE 105",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035085",
            "telephone_number": "801-689-3246",
            "fax_number": "801-689-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RIVER PARK DR STE 215",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846046065",
            "telephone_number": "801-689-3246",
            "fax_number": "801-689-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVAS OF PROVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-689-3246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel Francis Prince
• Wende L Prince, APRN
• Pro Health Supply
• Annette Anderson Proctor
• Professional Clinical Management (Preferred Family Clinic)
• Provo Care Center
• Provo City Board of Education (Provo City School District)
• Provo City Corporation (Provo City Fire/Ambulance)
• Provo City School District
• Provo Counseling Center

• Vascular & Interventional Radiology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Vascular & Interventional Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.