Active NPI
Intermountain Heart Center, PC
- Cardiovascular Disease Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 3605311205
- Legal business name
- INTERMOUNTAIN HEART CENTER, PC
- Practice address
- 5292 College Dr
Suite 201
Murray, UT 84123-2672 - Phone
- (801) 281-4278
- Fax
- (801) 281-5960
- NPI assigned
- Aug 11, 2006
- Last updated
- Aug 21, 2023
- 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
- Stephen L Miller, MD
- Title
- President
- Phone
- (801) 281-4278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 3605311205 | UT | Primary |
Addresses
Primary practice location
5292 College Dr
Suite 201
Murray, UT 84123-2672
Mailing address
5292 College Dr
Suite 201
Murray, UT 84123-2672
Phone (801) 281-4278
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 |
|---|---|---|---|
| 46D1038805 | Intermountain Heart Center | Certificate of waiver | Mar 28, 2027 |
National Provider Directory
National Provider DirectoryLocations
3665 S 8400 W
Ste 240
Magna, UT 84044
Phone (801) 382-6800
5292 S College Dr
Ste 201
Salt Lake City, UT 84123
Phone (801) 215-9011
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CECBDA
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1578514477
-
- Physician Assistant
- Murray, UT
- NPI 1790790111
-
- Cardiovascular Disease Physician
- Murray, UT
- NPI 1841273844
-
- Medical Physician Assistant
- Murray, UT
- NPI 1255653101
-
- Physician Assistant
- West Valley City, UT
- NPI 1992280788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1700897923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5292 COLLEGE DR",
"address_2": "SUITE 201",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232672",
"telephone_number": "801-281-4278",
"fax_number": "801-281-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5292 COLLEGE DR",
"address_2": "SUITE 201",
"city": "MURRAY",
"state": "UT",
"postal_code": "841232672",
"telephone_number": "801-281-4278",
"fax_number": "801-281-5960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERMOUNTAIN HEART CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-11",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "801-281-4278",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "3605311205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
- Intermountain Center for Cognitive Therapy
- Intermountain Epilepsy & Sleep Center, Inc (Maya Thomas)
- Intermountain Health Care
- Intermountain Health Care Center
- Intermountain Healthcare
- Intermountain Home Health Inc (Summit Home Health)
- Intermountain Home Health Inc (Summit Hospice)
- Intermountain Medical Group Denver, LLC
- Intermountain Medical Group Denver, LLC
- Intermountain Senior Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.