Active NPI
Catherine D. Jolma, M.D.
- Pediatrics Physician
- Salt Lake City, UT
National Provider Identifier
1679507354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6245465-1205
- Practice address
- 1140 E 3900 S
Salt Lake City, UT 84124-1228 - Phone
- (801) 264-8686
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6245465-1205 | UT | Primary |
Addresses
Primary practice location
1140 E 3900 S
Salt Lake City, UT 84124-1228
Mailing address
7138 S 2000 E Ste 103
Salt Lake City, UT 84121-7323
Phone (801) 453-9625
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6245465-8905 | Other | UT | MD LICENSE CS SCHED 2-5 |
| 6245465-1205 | Other | UT | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6245465-1205 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- West Jordan, UT
- NPI 1124102595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1679507354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7138 S 2000 E STE 103",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841217323",
"telephone_number": "801-453-9625",
"fax_number": "801-944-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 E 3900 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241228",
"telephone_number": "801-264-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOLMA",
"first_name": "CATHERINE",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "6245465-1205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE CS SCHED 2-5",
"identifier": "6245465-8905",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "6245465-1205",
"state": "UT"
}
],
"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 Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.