Individual provider Active NPI

Andrew P Gasecki, MD, PHD

  • Neurology Physician
  • Sandy, UT
National Provider Identifier
1760576342
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3626031205 Issued in UT
Practice address
8706 S 700 E
Suite 200
Sandy, UT 84070-1807
Phone
(801) 446-8156
Fax
(801) 446-8393
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3626031205 UT Primary

Addresses

Primary practice location

8706 S 700 E
Suite 200
Sandy, UT 84070-1807

Mailing address

2204 E High Ridge LN
Sandy, UT 84092-4859
Phone (801) 446-8156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000778 UT Practitioner - Neurology 3971499468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2204 E High Ridge LN
Sandy, UT 84092-4859

2204 High Ridge Lane
Sandy, UT 84092-4859

8706 S 700
Suite 200
Sandy, UT 84070-1808
Phone (801) 446-8156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3626031205UTMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph R. Watkins MD PC Neurology PastSince Aug 1, 2004 Accepting new patients
Western Neurological Associates Inc Neurology PastSince Jan 1, 2002 Accepting new patients
Revere Health PC Past Accepting new patients

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1760576342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E HIGH RIDGE LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840924859",
            "telephone_number": "801-446-8156",
            "fax_number": "801-446-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8706 S 700 E",
            "address_2": "SUITE 200",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840701807",
            "telephone_number": "801-446-8156",
            "fax_number": "801-446-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASECKI",
        "first_name": "ANDREW",
        "middle_name": "P",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "3626031205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

Verify at the official NPI Registry.