Individual provider Active NPI

Garner B Meads Jr., MD

  • Otolaryngology Physician
  • West Jordan, UT
National Provider Identifier
1760498026
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
1639371205 Issued in UT
Practice address
3584 W 9000 S
Ste 311
West Jordan, UT 84088-4775
Phone
(801) 566-8304
Fax
(801) 566-8330
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 1639371205 UT Primary

Addresses

Primary practice location

3584 W 9000 S
Ste 311
West Jordan, UT 84088-4775

Mailing address

3584 W 9000 S
Ste 311
West Jordan, UT 84088-4775
Phone (801) 566-8304

Other identifiers 1

IdentifierTypeStateIssuer
470897660008MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1639371205UTMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Valley Ear Nose and Throat Associates, PLLC Otolaryngology CurrentSince Jan 1, 2003 Accepting new patients

Locations

3590 W 90th S
Ste 300
West Jordan, UT 84088
Phone (801) 542-8190

3584 W 9000 S
Ste 311
West Jordan, UT 84088
Phone (801) 566-8304

Organizations & group practices 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1760498026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "STE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "STE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADS",
        "first_name": "GARNER",
        "middle_name": "B",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "UT",
            "license": "1639371205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470897660008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

Verify at the official NPI Registry.