NPIMap

Organization Active NPI

Exodus Healthcare Network PLLC

Doing business as Exodus Healthcare

  • Clinic/Center
  • West Valley, UT
National Provider Identifier
1679731319
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EXODUS HEALTHCARE NETWORK PLLC
Doing business as
Exodus Healthcare
Practice address
3336 South Pioneer Parkway
Suite 201
West Valley, UT 84120
Phone
(801) 250-9638
Fax
(801) 417-0063
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EXODUS HEALTHCARE NETWORK PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Brian Zehnder, MDNPI 1447278023
Title
Owner
Phone
(801) 250-9638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3336 South Pioneer Parkway
Suite 201
West Valley, UT 84120

Mailing address

8211 W 3500 S
Magna, UT 84044-1851
Phone (801) 250-9638

Other names 1

  • Exodus Healthcare Doing business as

National Provider Directory

National Provider Directory
Part of
Exodus Healthcare Network

Locations

3336 S Pioneer Pkwy
Ste 201
West Valley City, UT 84120
Phone (801) 313-0555

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1679731319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8211 W 3500 S",
            "city": "MAGNA",
            "state": "UT",
            "postal_code": "840441851",
            "telephone_number": "801-250-9638",
            "fax_number": "801-250-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 SOUTH PIONEER PARKWAY",
            "address_2": "SUITE 201",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "84120",
            "telephone_number": "801-250-9638",
            "fax_number": "801-417-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXODUS HEALTHCARE NETWORK PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXODUS HEALTHCARE NETWORK PLLC",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "ZEHNDER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-250-9638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exodus Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.