Organization Active NPI

University Obstetrics and Gynecology

  • Specialist
  • Provo, UT
National Provider Identifier
1710192042
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
87-0560471 Issued in UT
Legal business name
UNIVERSITY OBSTETRICS AND GYNECOLOGY
Practice address
1355 N University Ave
Suite 110
Provo, UT 84604-2721
Phone
(801) 374-5000
Fax
(801) 374-0077
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Mrs. Julie J Gately
Title
Billing Specialist
Phone
(801) 374-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 87-0560471 UT Primary

Addresses

Primary practice location

1355 N University Ave
Suite 110
Provo, UT 84604-2721

Mailing address

1355 N University Ave
Suite 110
Provo, UT 84604-2721
Phone (801) 374-5000

Other names 1

  • university obstetrics and gynecology Other name

National Provider Directory

National Provider Directory

Locations

1355 N University Ave
Ste 110
Provo, UT 84604
Phone (801) 374-5000

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1710192042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042721",
            "telephone_number": "801-374-5000",
            "fax_number": "801-374-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 N UNIVERSITY AVE",
            "address_2": "SUITE 110",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846042721",
            "telephone_number": "801-374-5000",
            "fax_number": "801-374-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "GATELY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "801-374-5000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": "87-0560471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "university obstetrics and gynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.