Individual provider Active NPI

David Nathan Burrow, M.D.

  • Psychiatry Physician
  • Heber City, UT
National Provider Identifier
1699060079
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10272476-1205 Issued in UT
Practice address
454 E Medical Way
Heber City, UT 84032-1391
Phone
(435) 657-4400
Fax
(801) 657-4460
NPI assigned
Jun 14, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10272476-1205 UT
Forensic Psychiatry Physician 2084F0202X 10272476-1205 UT
Forensic Psychiatry Physician 2084F0202X 62263 AZ
Forensic Psychiatry Physician 2084F0202X CDR.0000891 CO
Forensic Psychiatry Physician 2084F0202X 90329 MT
Forensic Psychiatry Physician 2084F0202X 20382 NV
Forensic Psychiatry Physician 2084F0202X MC-0652 ID
Forensic Psychiatry Physician 2084F0202X 13096C WY
Psychiatry Physician 2084P0800X 62263 AZ
Psychiatry Physician 2084P0800X CDR.0000891 CO
Psychiatry Physician 2084P0800X 90329 MT
Psychiatry Physician 2084P0800X 20382 NV
Psychiatry Physician 2084P0800X MC-0652 ID
Psychiatry Physician 2084P0800X 13096C WY
Psychiatry Physician 2084P0800X 10272476-1205 UT Primary

Addresses

Primary practice location

454 E Medical Way
Heber City, UT 84032-1391

Mailing address

750 Round Valley Dr Ste 201
Park City, UT 84060-7549
Phone (435) 649-7680

Other practice location 1

1159 E 200 N Ste 250
American Fork, UT 84003-2028
Phone (801) 855-2980

Other practice location 2

1000 N Main St Ste A
Richfield, UT 84701-2069
Phone (435) 893-0580

Other practice location 3

10968 N Alpine Hwy
Highland, UT 84003-8874
Phone (801) 763-2900

Other practice location 4

750 Round Valley Dr Ste 201
Park City, UT 84060
Phone (435) 649-7680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170602002054 UT Practitioner - Psychiatry 2163650938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Utah School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

750 Round Valley Dr
Park City, UT 84060-7548
Phone (866) 743-2584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20382NVMDPharmacist
62263AZMDForensic Psychiatry Physician
CDR.0000891COMDForensic Psychiatry Physician
MC-0652IDMDForensic Psychiatry Physician
90329MTMDForensic Psychiatry Physician
13096CWYMDForensic Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. Psychiatry CurrentSince Jul 1, 2017 Accepting new patients
Ihc Health Services Inc CurrentSince Jul 1, 2017 Accepting new patients

Locations

1159 E 200 N
Ste 250
American Fork, UT 84003
Phone (801) 855-2980

130 White Sage Ave
Delta, UT 84624
Phone (435) 864-2708

525 N Main St
Ephraim, UT 84627
Phone (435) 283-4075

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

10968 N Alpine Hwy
Highland, UT 84003
Phone (801) 763-2900

3249 N 1200 W
Lehi, UT 84043
Phone (801) 234-5880

159 N Main St
Manti, UT 84642
Phone (435) 835-3344

505 W 400 N
Orem, UT 84057
Phone (801) 357-7525

750 Round Valley Dr
Park City, UT 84060
Phone (435) 649-7680

2720 Homestead Rd
Ste 100
Park City, UT 84098
Phone (435) 940-9400

750 Round Valley Dr
Ste 201
Park City, UT 84060
Phone (435) 649-7640

750 Round Valley Dr
Ste 101
Park City, UT 84060
Phone (435) 200-6890

750 Round Valley Dr
Ste 202
Park City, UT 84060
Phone (435) 649-7680

1000 N Main St
Ste A
Richfield, UT 84701
Phone (435) 893-0580

370 Ninth Ave
Ste 205
Salt Lake Cty, UT 84103
Phone (801) 355-9951

9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133

354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200

389 S 900 E
Slc, UT 84102
Phone (385) 282-2000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1699060079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ROUND VALLEY DR STE 201",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607549",
            "telephone_number": "435-649-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E MEDICAL WAY",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321391",
            "telephone_number": "435-657-4400",
            "fax_number": "801-657-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1159 E 200 N Ste 250",
            "address_purpose": "LOCATION",
            "city": "American Fork",
            "state": "UT",
            "postal_code": "840032028",
            "country_code": "US",
            "telephone_number": "801-855-2980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 N Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "UT",
            "postal_code": "847012069",
            "country_code": "US",
            "telephone_number": "435-893-0580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10968 N Alpine Hwy",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "UT",
            "postal_code": "840038874",
            "country_code": "US",
            "telephone_number": "801-763-2900",
            "fax_number": "801-763-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Round Valley Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "84060",
            "country_code": "US",
            "telephone_number": "435-649-7680",
            "fax_number": "435-940-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURROW",
        "first_name": "DAVID",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-14",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "10272476-1205",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "UT",
            "license": "10272476-1205",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "AZ",
            "license": "62263",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CO",
            "license": "CDR.0000891",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MT",
            "license": "90329",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NV",
            "license": "20382",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "ID",
            "license": "MC-0652",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "WY",
            "license": "13096C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "62263",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "CDR.0000891",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MT",
            "license": "90329",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "20382",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "MC-0652",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WY",
            "license": "13096C",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "10272476-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.