Organization Active NPI

East Layton Internal Medicine LLC

  • Internal Medicine Physician
  • Layton, UT
National Provider Identifier
1770527871
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EAST LAYTON INTERNAL MEDICINE LLC
Practice address
1240 East Highway 193
Suite G-1
Layton, UT 84040
Phone
(801) 475-8600
Fax
(801) 771-1330
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
David J. Kane
Title
VP
Phone
(801) 568-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1240 East Highway 193
Suite G-1
Layton, UT 84040

Mailing address

1240 East Highway 193
Suite G-1
Layton, UT 84040
Phone (801) 475-8600

Other names 1

  • East Layton Medical CLinic Doing business as

National Provider Directory

National Provider Directory

Locations

1240 E Highway 193
Ste G1
Layton, UT 84040
Phone (801) 771-1331

425 E 5350 S
#330
Ogden, UT 84405
Phone (801) 771-1331

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1770527871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 EAST HIGHWAY 193",
            "address_2": "SUITE G-1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84040",
            "telephone_number": "801-475-8600",
            "fax_number": "801-771-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 EAST HIGHWAY 193",
            "address_2": "SUITE G-1",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "84040",
            "telephone_number": "801-475-8600",
            "fax_number": "801-771-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LAYTON INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "801-568-5999"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Layton Medical CLinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.