Active NPI
Michael Roy McFadden Sr., M.D.
- Urology Physician
- West Jordan, UT
National Provider Identifier
1811067283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 159085-1205
- Practice address
- 3584 West 9000 South
Suite 401
West Jordan, UT 84088 - Phone
- (801) 566-0204
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 159085-1205 | UT | Primary |
Addresses
Primary practice location
3584 West 9000 South
Suite 401
West Jordan, UT 84088
Mailing address
PO Box 680290
Park City, UT 84068-0290
Phone (801) 450-5454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159085-1205 | UT | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Group of Utah Inc | Past | Accepting new patients | |
| Utah Cancer Specialists PC | Past | Accepting new patients |
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.
-
- Specialist
- South Jordan, UT
- NPI 1477676930
-
- Medical Oncology Physician
- Salt Lake City, UT
- NPI 1619925369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811067283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 680290",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840680290",
"telephone_number": "801-450-5454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 WEST 9000 SOUTH",
"address_2": "SUITE 401",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "84088",
"telephone_number": "801-566-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFADDEN",
"first_name": "MICHAEL",
"middle_name": "ROY",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "UT",
"license": "159085-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.