NPIMap

Organization Active NPI

Valley Obstetrics and Gynecology, P.C.

  • Obstetrics & Gynecology Physician
  • Springville, UT
National Provider Identifier
1710399472
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1376645887 Issued in UT
Legal business name
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Practice address
285 E 400 S
Springville, UT 84663-1957
Phone
(801) 489-0111
Fax
(801) 489-8351
NPI assigned
May 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Sheri Bennett
Title
Contract & Credentialing Spec
Phone
(435) 628-0498

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 1376645887 UT Primary

Addresses

Primary practice location

285 E 400 S
Springville, UT 84663-1957

Mailing address

285 E 400 S
Springville, UT 84663-1957
Phone (801) 489-0111

Other identifiers 1

IdentifierTypeStateIssuer
1376645887OtherUTNPI

Other names 1

  • Springville Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000547 UT Part B Supplier - Clinic/Group Practice 5890862726 Receives reassigned benefits from 109 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lehi, UT; American Fork, UT; Vineyard, UT; St George, UT; Springville, UT; Spanish Fork, UT; Saratoga Springs, UT; Provo, UT…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Valley Obstetrics and Gynecology PC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

285 E 400 S
Springville, UT 84663
Phone (801) 489-1000

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

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1710399472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631957",
            "telephone_number": "801-489-0111",
            "fax_number": "801-489-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631957",
            "telephone_number": "801-489-0111",
            "fax_number": "801-489-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "SHERI",
        "authorized_official_title_or_position": "CONTRACT & CREDENTIALING SPEC",
        "authorized_official_telephone_number": "435-628-0498"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "1376645887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376645887",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springville Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.