Mary Elena James, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

3204331205 Issued in UT

Practice address

1002 E South Temple
207
Salt Lake City, UT 84102-1525

Phone

(801) 364-1110

Fax

(801) 364-1124

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Elena James-Hewitt Former name

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• Revere Health PC

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191974400000",
    "number": "1710927975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE",
            "address_2": "207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021525",
            "telephone_number": "801-364-1110",
            "fax_number": "801-364-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 E SOUTH TEMPLE",
            "address_2": "207",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021525",
            "telephone_number": "801-364-1110",
            "fax_number": "801-364-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MARY",
        "middle_name": "ELENA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "3204331205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JAMES-HEWITT",
            "middle_name": "ELENA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathy Ann James, RN
• Kevin Michael James, NP
• Kristal James
• Maggie Francis Manion James
• Mandi Rebecca James
• Mervyn Craig James
• Roy Lewis James, M.D.
• Stephanie James
• Stephanie Dawn James
• Tammy G. James, M.S.

• Neurology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Neurology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.