Push Concierge Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PUSH CONCIERGE MEDICINE, PLLC

Practice address

50 W Broadway Ste 333 #164321
Salt Lake City, UT 84101-2027

Phone

(801) 709-1470

Fax

(253) 218-6964

NPI assigned

Jul 19, 2016

Organization subpart

No

Name

Dr. Marshall Nickel, MD

Title

Owner/Physician

Phone

(253) 985-3501

Locations

• Marshall S. Nickel, MD Doing business as
• Push Concierge Medicine Doing business as
• Marshall S. Nickel, MD PLLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2025.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737849600000",
    "number": "1750734232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333 #164321",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "801-709-1470",
            "fax_number": "253-218-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BROADWAY STE 333 #164321",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841012027",
            "telephone_number": "801-709-1470",
            "fax_number": "253-218-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSH CONCIERGE MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "253-985-3501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall S. Nickel, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Push Concierge Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marshall S. Nickel, MD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pure Infusion Suites, LLC
• Jessica Dawn Purkey, RN
• Courtney Anne Pursell, PHARMD
• Dean Purser
• Rebecca Jane Purtell, M.D.
• Richard Isaac Pushkin, MD
• Amy Putich
• Stanford S. Putman, M.D.
• Summer Putman
• Angelica Rocio Putnam, MD

• All providers in Salt Lake City, UT
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; 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.