Organization Active NPI

Steelemd

  • Dermatology Physician
  • Lehi, UT
National Provider Identifier
1730911900
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
STEELEMD
Practice address
310 N 850 E Ste a
Lehi, UT 84043-8623
Phone
(385) 336-7461
NPI assigned
Aug 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Aj Yergensen, MBA
Title
Admin
Phone
(435) 986-9369

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

310 N 850 E Ste a
Lehi, UT 84043-8623

Mailing address

148 S 1100 E
American Fork, UT 84003-2817
Phone (385) 336-7461

Other names 1

  • Vita Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240920001742 UT Part B Supplier - Clinic/Group Practice 1456892199 Receives reassigned benefits from 1 practitioner
Practice locations: American Fork, UT; Lehi, UT

National Provider Directory

National Provider Directory

Locations

148 S 1100 E
American Fork, UT 84003
Phone (801) 756-6048

Practitioners & affiliated clinicians

Practitioners 3

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": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1730911900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S 1100 E",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032817",
            "telephone_number": "385-336-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 850 E STE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438623",
            "telephone_number": "385-336-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEELEMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "YERGENSEN",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "435-986-9369",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vita Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.