Good Shepherd Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GOOD SHEPHERD MEDICAL GROUP

Practice address

3584 W 9000 S Ste 300
West Jordan, UT 84088-5711

Phone

(801) 277-6474

Fax

(877) 789-0498

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By 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

Mr. Nathaniel Lefevor, MBA

Title

Administrator

Phone

(801) 574-9566

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1710643549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-277-6474",
            "fax_number": "877-789-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S STE 300",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885711",
            "telephone_number": "801-277-6474",
            "fax_number": "877-789-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SHEPHERD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "LEFEVOR",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-574-9566",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgette Gonzales
• Cathy J Gonzales, FNP
• Alejandra Gonzalez, COTA/L
• Claudia L Gonzalez
• Good Shepherd Homecare and Hospice of Utah LLC (Good Shepherd Homecare & Hospice)
• Christine Bryanne Goodell, D.D.S
• Leslie L Goodwin, MD
• Bryan Gordon, D.C.
• Crystal Miquel Gordon
• Janna Gordon, PHD

• Family Medicine Physician in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.