Individual provider Active NPI

Mark A Stowers, MD

  • Obstetrics & Gynecology Physician
  • Bountiful, UT
National Provider Identifier
1760410203
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
1841801205 Issued in UT
Practice address
390 N Main St
Bountiful, UT 84010-6046
Phone
(801) 294-1055
Fax
(801) 292-8369
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1841801205 UT Primary
Obstetrics & Gynecology Physician 207V00000X TL7076 WY

Addresses

Primary practice location

390 N Main St
Bountiful, UT 84010-6046

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 294-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051115001064 UT Practitioner - Obstetrics/Gynecology 6305865759 Reassigns benefits to 4 organizations
I20220329000815 WY Practitioner - Obstetrics/Gynecology 6305865759 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Feb 25, 2022 Accepting new patients
Obhg Utah LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Feb 25, 2022 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Granger Medical Specialists, LLC CurrentSince Jan 1, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 1, 2003 Accepting new patients
Western Gynecological and Obstetrical Clinic, Inc. Obstetrics & Gynecology CurrentSince May 29, 2023 Accepting new patients
Granger Medical Specialists LLC CurrentSince Jan 1, 2023 Accepting new patients
Granger Medical Clinic PC Obstetrics & Gynecology Past Accepting new patients

Locations

11925 S State St
Draper, UT 84020
Phone (801) 545-8000

12842 S 3600 W
Ste 200
Riverton, UT 84065
Phone (801) 285-4800

995 W Levoy Dr
Taylorsville, UT 84123

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1760410203",
    "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": "801-294-1055",
            "fax_number": "801-292-8369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106046",
            "telephone_number": "801-294-1055",
            "fax_number": "801-292-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWERS",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "1841801205",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "TL7076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.