NPIMap

Organization Active NPI

Valley Obstetrics and Gynecology, P.C.

  • Advanced Practice Midwife
  • American Fork, UT
National Provider Identifier
1780002188
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
215423-4402 Issued in UT
Legal business name
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Practice address
1248 E 90 N Ste 300
American Fork, UT 84003-2956
Phone
(801) 756-1577
Fax
(801) 216-8357
NPI assigned
Apr 2, 2014
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Adam Rasmussen
Title
Ceo
Phone
(801) 374-1802

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 359986-4402 UT
Advanced Practice Midwife 367A00000X 7370494-4402 UT
Advanced Practice Midwife 367A00000X 5665692-4402 UT
Advanced Practice Midwife 367A00000X 189113-4402 UT
Advanced Practice Midwife 367A00000X 334308-4402 UT
Advanced Practice Midwife 367A00000X 215423-4402 UT Primary

Addresses

Primary practice location

1248 E 90 N Ste 300
American Fork, UT 84003-2956

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 374-1801

Other practice location 1

3000 N Triumph Blvd Ste 210
Lehi, UT 84043-7187
Phone (801) 756-1577

Other practice location 2

118 E Thrive Dr
Saratoga Springs, UT 84045-5550
Phone (801) 756-1577

Other identifiers 10

IdentifierTypeStateIssuer
1043963572OtherUTHODGES NPI
1497717052OtherUTNPI
1952615205OtherUTNPI
1598778771OtherUTNPI
1679168264OtherUTNPI
1710940952OtherUTSEAMONS NPI
1609419043OtherUTNPI
1386974525OtherUTNELSON NPI
1639539521OtherUTDIVALL NPI
1841749215OtherUTMEIDELL NPI

Other names 1

  • AF CNMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000547 UT Part B Supplier - Clinic/Group Practice 5890862726 Receives reassigned benefits from 109 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lehi, UT; American Fork, UT; Vineyard, UT; St George, UT; Springville, UT; Spanish Fork, UT; Saratoga Springs, UT; Provo, UT…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Valley Obstetrics Gyncolog10 organizations share this tax ID, including this one
Part of
Valley Obstetrics Gyncolog

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1248 E 90 N
#300
American Fork, UT 84003
Phone (801) 756-9635

118 E Thrive Dr
Saratoga Springs, UT 84045
Phone (801) 407-1599

1228 N Commerce Dr
Ste 2
Saratoga Springs, UT 84045
Phone (801) 756-9635

667 E 500 N
Ste 200
Vineyard, UT 84059
Phone (801) 669-5758

Practitioners & affiliated clinicians

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 71

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1780002188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 E 90 N STE 300",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032956",
            "telephone_number": "801-756-1577",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840437187",
            "country_code": "US",
            "telephone_number": "801-756-1577",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 E Thrive Dr",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "UT",
            "postal_code": "840455550",
            "country_code": "US",
            "telephone_number": "801-756-1577",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY OBSTETRICS AND GYNECOLOGY, P.C.",
        "enumeration_date": "2014-04-02",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-374-1802"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "359986-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "7370494-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "5665692-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "189113-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "334308-4402",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "UT",
            "license": "215423-4402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HODGES NPI",
            "identifier": "1043963572",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497717052",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1952615205",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598778771",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679168264",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SEAMONS NPI",
            "identifier": "1710940952",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609419043",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NELSON NPI",
            "identifier": "1386974525",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVALL NPI",
            "identifier": "1639539521",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEIDELL NPI",
            "identifier": "1841749215",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AF CNMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AF CNMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in American Fork, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.