Organization Active NPI

David Shaskey MD LLC

  • Rheumatology Physician
  • Salt Lake City, UT
National Provider Identifier
1710407283
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
181318-1205 Issued in UT
Legal business name
DAVID SHASKEY MD LLC
Practice address
1121 E 3900 S Ste 125
Salt Lake City, UT 84124-1261
Phone
(801) 631-5804
NPI assigned
Jun 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
David Shaskey, MDNPI 1033220603
Title
Owner
Phone
(801) 631-5804

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
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X 181318-1205 UT Primary

Addresses

Primary practice location

1121 E 3900 S Ste 125
Salt Lake City, UT 84124-1261

Mailing address

1121 E 3900 S Ste 125
Salt Lake City, UT 84124-1261
Phone (801) 631-5804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170828004603 UT Part B Supplier - Clinic/Group Practice 2466725379 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1710407283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S STE 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241261",
            "telephone_number": "801-631-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E 3900 S STE 125",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241261",
            "telephone_number": "801-631-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SHASKEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "SHASKEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-631-5804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "UT",
            "license": "181318-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.