Active NPI
Shawn Collin Rowland, M.D.
- Family Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1760801153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8526216-1205
- Practice address
- 2825 E Cottonwood Pkwy Ste 500
Salt Lake City, UT 84121-7060 - Phone
- (801) 382-7879
- Fax
- (657) 284-6973
- NPI assigned
- Apr 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD2019-0762 | NM | |
| Family Medicine Physician | 207Q00000X | 8526216-1205 | UT | Primary |
Addresses
Primary practice location
2825 E Cottonwood Pkwy Ste 500
Salt Lake City, UT 84121-7060
Mailing address
2825 E Cottonwood Pkwy Ste 500
Salt Lake City, UT 84121-7060
Phone (801) 382-7879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140822002116 | NM | Order and Referring Only - Family Practice | 0840418448 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8526216-1205 | UT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1760801153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 E COTTONWOOD PKWY STE 500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841217060",
"telephone_number": "801-382-7879",
"fax_number": "657-284-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E COTTONWOOD PKWY STE 500",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841217060",
"telephone_number": "801-382-7879",
"fax_number": "657-284-6973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWLAND",
"first_name": "SHAWN",
"middle_name": "COLLIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-14",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "MD2019-0762",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8526216-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.