Matthew O Leavitt MD Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

65908671205 Issued in UT

Legal business name

MATTHEW O LEAVITT MD INC

Practice address

945 S Orem Blvd
Orem, UT 84058-5011

Phone

(801) 225-5407

Fax

(801) 225-5623

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Matthew O Leavitt, MD

Title

Physician

Phone

(801) 225-5409

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1760678155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1442",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846031442",
            "telephone_number": "801-225-5407",
            "fax_number": "801-225-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S OREM BLVD",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840585011",
            "telephone_number": "801-225-5407",
            "fax_number": "801-225-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW O LEAVITT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "LEAVITT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-225-5409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        },
        {
            "code": "207ZI0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Immunopathology",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        },
        {
            "code": "207ZN0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Neuropathology",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        },
        {
            "code": "207ZP0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "65908671205",
            "primary": true
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "UT",
            "license": "65908671205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marula
• Brooke Mason
• Miiko Masse
• Merahi Matagi
• Justin Dell Mathews, PMHNP-BC
• Madilyn Mattinson
• Kenedy Maudsley
• Liliana Loni Mauga
• Maughan Dentistry LLC
• Bailey Elizabeth Maughan

• Anatomic Pathology & Clinical Pathology Physician in Orem, UT
• Providers in Orem, UT by specialty
• Anatomic Pathology & Clinical Pathology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.