Mountain West Hearing and Speech

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

104094-4101 Issued in UT

Legal business name

MOUNTAIN WEST HEARING AND SPEECH

Practice address

777 E 4500 S Ste 110
Salt Lake City, UT 84107-3056

Phone

(801) 268-6497

Fax

(801) 268-1376

NPI assigned

Mar 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard S Van Wagoner, M.S. CCC-A

Title

President

Phone

(801) 268-6497

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Karyn K Hodge, AUD

  • Audiologist
  • Murray, UT
  • NPI 1043739667

  Single Specialty

  NPD (past)
• Faye Mitsunaga, M.A., CCC-A

  • Audiologist
  • Salt Lake City, UT
  • NPI 1316283815
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700902376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 E 4500 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073056",
            "telephone_number": "801-268-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E 4500 S STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841073056",
            "telephone_number": "801-268-6497",
            "fax_number": "801-268-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST HEARING AND SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-268-6497",
        "authorized_official_credential": "M.S. CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "UT",
            "license": "104094-4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528609027002",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain View Therapy Group LLC
• Mountain West Cardiovascular Associates
• Mountain West Cardiovascular Associates, PC (Heart Center)
• Mountain West Evaluation & Therapy Services (MW Evaluations/Mountain West Evals)
• Mountain West Evaluation & Therapy Services
• Lisa M Mountain, PH.D.
• Mountainstar Cardiology St Marks LLC (Heart Center at St Mark's)
• Mountainstar Cardiovascular Services LLC (MountainStar Cardiovascular Surgery)
• Mountainstar Medical Group Neurosurgery - St Marks LLC
• Mountainstar Medical Group-St. Marks Hospital, LLC

• Audiologist-Hearing Aid Fitter in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Audiologist-Hearing Aid Fitter in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.