Active NPI
DO Well Health Center
- Family Medicine Physician
- West Valley City, UT
National Provider Identifier
1790369460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DO WELL HEALTH CENTER
- Practice address
- 4900 W 3500 S
West Valley City, UT 84120-2929 - Phone
- (385) 258-3030
- NPI assigned
- May 10, 2021
- Last updated
- Aug 17, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark McDowell, MD
- Title
- President
- Phone
- (385) 258-3030
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
4900 W 3500 S
West Valley City, UT 84120-2929
Mailing address
4900 W 3500 S
West Valley City, UT 84120-2929
Phone (382) 258-3030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912165788 | Medicaid | UT | |
| 1912165788 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
4900 W 3500 S
West Valley City, UT 84120
Phone (385) 258-3030
Interoperability endpoints
- https://api.platform.athenahealth.com/24424/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692230400000",
"number": "1790369460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202929",
"telephone_number": "382-258-3030",
"fax_number": "833-913-2354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 W 3500 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841202929",
"telephone_number": "385-258-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DO WELL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-10",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A",
"authorized_official_last_name": "MCDOWELL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "385-258-3030",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912165788",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912165788",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.