Individual provider Active NPI

Robert William Townsley, PA

  • Surgical Physician Assistant
  • Draper, UT
National Provider Identifier
1770635245
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
316554-1206 Issued in UT
Practice address
96 E Kimballs LN Ste 207
Draper, UT 84020-5025
Phone
(801) 576-2300
Fax
(844) 249-1746
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 316554-1206 UT Primary

Addresses

Primary practice location

96 E Kimballs LN Ste 207
Draper, UT 84020-5025

Mailing address

PO Box 100253
Atlanta, GA 30384-0253

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtownsley99753@epicmtn.hcadirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000122 UT Practitioner - Physician Assistant 9436142585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1836 Lackland Hill Pkwy
Saint Louis, MO 63146-3572

2000 Health Park Dr
Brentwood, TN 37027-4692

Hospital & facility affiliations

  • Lone Peak Hospital Hospital, Draper, UT, CCN 460060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Jun 1, 2008 Accepting new patients
Advanced Orthopedics & Sports Medicine Past Accepting new patients

Locations

2530 W 4700 S
Ste B8
Taylorsville, UT 84129
Phone (801) 967-5866

3584 W 9000 S
Ste 405
West Jordan, UT 84088
Phone (801) 568-3480

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

3460 S Pioneer Pkwy
West Valley City, UT 84120
Phone (801) 964-3111

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1770635245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100253",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 E KIMBALLS LN STE 207",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205025",
            "telephone_number": "801-576-2300",
            "fax_number": "844-249-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSLEY",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2022-01-26",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "316554-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtownsley99753@epicmtn.hcadirect.net",
            "affiliation": "N",
            "address_1": "96 E Kimballs Ln Ste 207",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840205025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.