Ihc Health Services Inc

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

20012306 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Intermountain Surgical Oncology

Practice address

5169 Cottonwood St
Ste 440
Salt Lake City, UT 84107-6774

Phone

(801) 507-3915

NPI assigned

Feb 26, 2007

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 1

Addresses

Other names 1

• Intermountain Surgical Oncology Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Erik Bradford, APRN

  • Acute Care Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1356853188
  NPD
• Taylor Jay Christensen, M.D.

  • Hospitalist Physician
  • Provo, UT
  • NPI 1447604038
  NPD
• Valeria Dias, MD

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1578980629
  NPD
• Kelli Elaine Groomer, P.A.

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1568412724
  NPD
• Carrie Hanni

  • Nurse Practitioner
  • Ogden, UT
  • NPI 1033865431
  NPD
• Imran M. Raja, M.D.

  • Psychiatry Physician
  • Cottonwood Heights, UT
  • NPI 1649424409
  NPD
• Leigh Simpson

  • Primary Care Nurse Practitioner
  • Sandy, UT
  • NPI 1720584147
  NPD
• Nikhil Sripathi Karanth, M.D.

  • Gastroenterology Physician
  • Woonsocket, RI
  • NPI 1144332586
  NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1750417853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-408-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 COTTONWOOD ST",
            "address_2": "STE 440",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841076774",
            "telephone_number": "801-507-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "UT",
            "license": "20012306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Intermountain Surgical Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Intermountain Avenues Women's Center)
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• Ihc Health Services Inc
• Ihc Health Services Inc (Avenues Specialty Clinic)
• Ihc Health Services Inc (LDS Hospital Physicians)
• Ihc Health Services Inc (Memorial Radiology)
• Ihc Health Services Inc (Primary Childrens Outpatient Pharmacy)
• Ihc Health Services Inc (PCH Eeg)
• Ihc Health Services Inc (Salt Lake County HealthMe Medical Clinic)
• Ihc Health Services Inc (LangelandOB/GYN)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.