Ihc Health Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3350 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

South Jordan Clinic

Practice address

11444 S Redwood Rd
South Jordan, UT 84095-7803

Phone

(801) 253-5900

NPI assigned

Feb 21, 2007

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 1

Addresses

Other names 1

• South Jordan Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 16

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.

• Sara Sue Beck, NP

  • Family Nurse Practitioner
  • St George, UT
  • NPI 1720228091
  NPD
• Spencer Christian Debry, M.D.

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1194797738
  NPD
• James Michael Feeney, MD FACC

  • Interventional Cardiology Physician
  • Provo, UT
  • NPI 1386624377
  NPD
• Claudia G. Gerard, CNM

  • Advanced Practice Midwife
  • Salt Lake City, UT
  • NPI 1750471355
  NPD
• Bryndon Blake Hatch, M.D.

  • Physical Medicine & Rehabilitation Physician
  • St George, UT
  • NPI 1063771095
  NPD
• Miranda Berchtold Ipsen, OTR/L

  • Occupational Therapist
  • Ogden, UT
  • NPI 1871369827
  NPD
• Ryan C Jones, DO

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1043328610
  NPD
• Kelzie Devitt Layne

  • Registered Dietitian
  • Ogden, UT
  • NPI 1700609559
  NPD
• Alexis Nikole Rhodes, PA-C

  • Physician Assistant
  • North Ogden, UT
  • NPI 1508449976
  NPD
• Kaylee Sutherland, PA-C

  • Physician Assistant
  • Salt Lake City, UT
  • NPI 1437922911
  NPD
• Aaron Craig Turgoose, AU.D.

  • Audiologist
  • Salt Lake City, UT
  • NPI 1689719445
  NPD
• Ashton Deloy Densley, DO

  • Diagnostic Radiology Physician
  • Saint Louis, MO
  • NPI 1467910646

  Family Medicine

  NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1811032048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-253-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11444 S REDWOOD RD",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840957803",
            "telephone_number": "801-253-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Jordan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Intermountain Health Infusion Pharmacy Salt Lake)
• Ihc Health Services Inc (Intermountain Health Home Health Heber City)
• Ihc Health Services Inc (Post Acute Care - Clinical)
• Ihc Health Services Inc (Intermountain at Home)
• Ihc Health Services Inc (Intermountain Health Hospice Fillmore)
• Ihc Health Services Inc
• Tochukwu Ikpeze, MD
• Rumika Imdad, DDS
• Injury Clinic, LLC
• Injury Recovery Specialists

• Family Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.