Individual provider Active NPI

Jeff David Nance, M.D.

  • Obstetrics & Gynecology Physician
  • Springville, UT
National Provider Identifier
1700151990
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8441660-1205 Issued in UT
Practice address
672 W 400 S
Suite 100
Springville, UT 84663-3157
Phone
(801) 360-6784
Fax
(801) 489-0537
NPI assigned
Mar 20, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8441660-1205 UT Primary

Addresses

Primary practice location

672 W 400 S
Suite 100
Springville, UT 84663-3157

Mailing address

672 W 400 S
Ste 100
Springville, UT 84663-3170
Phone (801) 489-0111

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
I20160719001651 UT Practitioner - Obstetrics/Gynecology 3173755881 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8441660-1205UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology CurrentSince Jul 1, 2016 Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Obstetrics & Gynecology Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients

Locations

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

585 N 500 W
Ste 500
Provo, UT 84601

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.702

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1700151990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 W 400 S",
            "address_2": "STE 100",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633170",
            "telephone_number": "801-489-0111",
            "fax_number": "801-489-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W 400 S",
            "address_2": "SUITE 100",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846633157",
            "telephone_number": "801-360-6784",
            "fax_number": "801-489-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "JEFF",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "8441660-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

Verify at the official NPI Registry.