Intermountian Lipid Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5353571-1205 Issued in UT

Legal business name

INTERMOUNTIAN LIPID CENTER

Practice address

421 S Wakara Way Ste 121
Salt Lake City, UT 84108-1244

Phone

(801) 583-8852

Fax

(801) 581-6862

NPI assigned

Dec 1, 2011

Last updated

Feb 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eliot Ashby Brinton, MDNPI 1033209614

Title

Owner

Phone

(801) 581-6862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 1

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.

• Eliot Ashby Brinton, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1033209614
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517875200000",
    "number": "1699043943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110268",
            "telephone_number": "801-296-2113",
            "fax_number": "801-296-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S WAKARA WAY STE 121",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081244",
            "telephone_number": "801-583-8852",
            "fax_number": "801-581-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERMOUNTIAN LIPID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2018-02-06",
        "status": "A",
        "authorized_official_last_name": "BRINTON",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_middle_name": "ASHBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-581-6862",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5353571-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intermountain Pain Center
• Intermountain Pediatric Clinic
• Intermountain Pediatric Dialysis (University of Utah)
• Intermountain Spine Partners (Intermountain Spine Institute)
• Intermountain Stroke Center, Inc.
• Internal Med- Cardiology Advanced Heart Failure- Department of Unive
• Internal Med- Cardiology- Ep- Dept of University of Utah
• Internal Med- Hematology- Hematologic Department of University of Utah
• Internal Med- Interventional Cardiology- Department of University of U
• Internal Med-Micu/Department of University of Utah

• Internal Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.