Active NPI
Kenneth Justin Nowers, M.D.
- Diagnostic Radiology Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 378881-1205
- Practice address
- 5444 Green St
Murray, UT 84123-5632 - Phone
- (801) 262-8120
- Fax
- (801) 262-3897
- NPI assigned
- May 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 378881-1205 | UT | Primary |
| Diagnostic Radiology Physician | 2085R0202X | M-10258 | ID |
Addresses
Primary practice location
5444 Green St
Murray, UT 84123-5632
Mailing address
5444 Green St
Murray, UT 84123-5632
Phone (801) 262-8120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4925 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Utah School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000
8 TH Ave and C St
LDS Hosp Eeg Phys GRP
Salt Lake City, UT 84143
Phone (801) 507-7000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-10258 | ID | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Mountain Medical Physician Specialists PC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368
5444 S Green St
Salt Lake City, UT 84123
Phone (801) 262-2647
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
5323 S Woodrow St
Salt Lake City, UT 84107
Phone (801) 261-8346
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
1486 E Skyline Dr
South Ogden, UT 84405
Phone (801) 475-4552
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
421 E Main St
Auburn, WA 98002
Phone (253) 204-2530
2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Diagnostic Radiology Physician
- Murray, UT
- NPI 1720035520
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1346093150
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Mt Pleasant, UT
- NPI 1679510218
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physiological Laboratory
- Cedar City, UT
- NPI 1538841747
-
- Physiological Laboratory
- Ogden, UT
- NPI 1144802802
-
- Physiological Laboratory
- West Valley City, UT
- NPI 1407438039
-
- Physiological Laboratory
- Spanish Fork, UT
- NPI 1518727734
-
- Physiological Laboratory
- Salt Lake City, UT
- NPI 1649998709
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Logan, UT
- NPI 1831108497
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- St George, UT
- NPI 1366452880
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1528078581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1720037641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-262-8120",
"fax_number": "801-262-3897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5444 GREEN ST",
"city": "MURRAY",
"state": "UT",
"postal_code": "841235632",
"telephone_number": "801-262-8120",
"fax_number": "801-262-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWERS",
"first_name": "KENNETH",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-08",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "378881-1205",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ID",
"license": "M-10258",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4925",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.