Organization Active NPI

Intermountain Heart Center, PC

  • Cardiovascular Disease Physician
  • Murray, UT
National Provider Identifier
1700897923
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
3605311205 Issued in UT
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Stephen L Miller, MDNPI 1578514477
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20050310001071 UT Part B Supplier - Clinic/Group Practice 1355395427 Receives reassigned benefits from 3 practitioners
Practice locations: Murray, UT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D1038805Intermountain Heart Center5292 S College Dr #201, Murray, UT 84123Certificate of waiverMar 28, 2027

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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

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.

Verify at the official NPI Registry.