Active NPI
Jordan River Women's Health, P.C.
- Obstetrics & Gynecology Physician
- West Jordan, UT
National Provider Identifier
1699732123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JORDAN RIVER WOMEN'S HEALTH, P.C.
- Practice address
- 3584 W 9000 S
Ste 206
West Jordan, UT 84088-5710 - Phone
- (801) 561-2227
- Fax
- (801) 561-5353
- NPI assigned
- Apr 27, 2006
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tazma Shaw
- Title
- Office Manager
- Phone
- (801) 561-2227
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | UT | Primary |
Addresses
Primary practice location
3584 W 9000 S
Ste 206
West Jordan, UT 84088-5710
Mailing address
3584 W 9000 S
Ste 206
West Jordan, UT 84088-5710
Phone (801) 561-2227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0974887 | Jordan River Women's Health, P C | Certificate of waiver | Feb 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
3584 W 9000 S
Ste 206
West Jordan, UT 84088
Phone (801) 561-2227
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.
-
- Women's Health Nurse Practitioner
- Draper, UT
- NPI 1093469116
-
- Obstetrics & Gynecology Physician
- West Jordan, UT
- NPI 1497862031
-
- Family Nurse Practitioner
- Lehi, UT
- NPI 1326107764
-
- Obstetrics & Gynecology Physician
- Layton, UT
- NPI 1487815650
-
- Obstetrics & Gynecology Physician
- West Jordan, UT
- NPI 1144287699
-
- Obstetrics & Gynecology Physician
- West Jordan, UT
- NPI 1295793339
-
- Nurse Practitioner
- Murray, UT
- NPI 1790594265
-
- Obstetrics & Gynecology Physician
- Murray, UT
- NPI 1407813959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1699732123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "STE 206",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-561-2227",
"fax_number": "801-561-5353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 W 9000 S",
"address_2": "STE 206",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885710",
"telephone_number": "801-561-2227",
"fax_number": "801-561-5353"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JORDAN RIVER WOMEN'S HEALTH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "TAZMA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "801-561-2227"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
- Jordan Landing Dental Care, PC
- Jordan Landing Dental Management (Jordan Landing Smiles)
- Jordan Landing Family Medicine LLC (Jordan Landing Clinic LLC)
- Jordan Landing Pediatric Dentistry DDS
- Jordan Landing Pediatrics
- Jordan Valley & Mountain Point Medical Center, LLC (Jordan Valley Medical Center)
- Jordan Valley & Mountain Point Medical Center, LLC (Jordan Valley Medical Center)
- Jordan Valley Dental
- Jordan Valley Dermatology Center LLC
- Jordan Valley Family Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.