Active NPI
Steelemd
- Dermatology Physician
- Lehi, UT
National Provider Identifier
1730911900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- MOHS-Micrographic Surgery Physician
- American Fork, UT
- NPI 1598128985
Dermatology
-
- Physician Assistant
- Bluffdale, UT
- NPI 1467934737
-
- Plastic Surgery Physician
- Lehi, UT
- NPI 1942402433
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.