Organization Active NPI

SNP Medical Holdings LLC

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1689346298
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SNP MEDICAL HOLDINGS LLC
Practice address
6699 S 1300 E
Salt Lake City, UT 84121-7239
Phone
(612) 244-8260
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Sean Filson
Title
Owner
Phone
(612) 244-8260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6699 S 1300 E
Salt Lake City, UT 84121-7239

Mailing address

6699 S 1300 E
Salt Lake City, UT 84121-7239

Other practice location 1

3456 Cedar Dr
Park City, UT 84098-5499
Phone (612) 244-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220219000128 UT Part B Supplier - Clinic/Group Practice 9537553409 Receives reassigned benefits from 3 practitioners
Practice locations: Salt Lake City, UT
O20220627000085 UT DME Supplier - Physician - Unknown Physician Specialty 9537553409 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

6699 S 1300 E
Murray, UT 84121
Phone (612) 244-8260

6699 S 1300 E
Ste 150
Murray, UT 84121
Phone (612) 244-8260

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1689346298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 S 1300 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841217239",
            "telephone_number": "612-244-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3456 Cedar Dr",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840985499",
            "country_code": "US",
            "telephone_number": "612-244-8260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SNP MEDICAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "FILSON",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-244-8260"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.