Wasatch Neurosurgery & Spine

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

1805671205 Issued in UT

Legal business name

WASATCH NEUROSURGERY & SPINE

Practice address

1220 E 3900 S
# 4-E
SLC, UT 84124-1327

Phone

(801) 261-8507

Fax

(801) 261-8511

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard H Schwartz, MD

Title

President

Phone

(801) 261-8507

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• richard h schwartz md pc Former legal business name

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1720260714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "# 4-E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84124",
            "telephone_number": "801-261-8507",
            "fax_number": "801-261-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 3900 S",
            "address_2": "# 4-E",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841241327",
            "telephone_number": "801-261-8507",
            "fax_number": "801-261-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH NEUROSURGERY & SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-261-8507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "1805671205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495504853020",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "richard h schwartz md pc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Ann Walsh, MD
• Amy Lynn Walton, SLP
• Heather Lynn Walton, PA
• Roberta Y Wang, MD
• Michael Shawn Ward, APRN
• Jared Maughan Weaver, DDS
• Jessica Weaver
• Kelli Dru Webster, NP-C
• Michelle Coles Webster, SP
• Dean Weedon

• Neurological Surgery Physician in SLC, UT
• Providers in SLC, UT by specialty
• Neurological Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.