Organization Active NPI

Robert L Orme, MD PC

  • Dermatology Physician
  • Draper, UT
National Provider Identifier
1811150550
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
180576-1205 Issued in UT
Legal business name
ROBERT L ORME, MD PC
Practice address
11760 South 700 East
Suite #210
Draper, UT 84020-6604
Phone
(801) 572-8043
Fax
(801) 576-4285
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Robert Lynn Orme, MDNPI 1174635403
Title
Owner/Physician
Phone
(801) 572-8043

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 180576-1205 UT Primary

Addresses

Primary practice location

11760 South 700 East
Suite #210
Draper, UT 84020-6604

Mailing address

11760 South 700 East
#210
Draper, UT 80420-6604
Phone (801) 572-8043

Other identifiers 1

IdentifierTypeStateIssuer
529668077009MedicaidUT

Other names 1

  • LONE PEAK DERMATOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000478 UT Part B Supplier - Clinic/Group Practice 8325113541 Receives reassigned benefits from 4 practitioners
Practice locations: Draper, UT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
46D0525211Lone Peak Dermatology11760 S 700 E Suite 210, Draper, UT 84020ComplianceMay 17, 2028

National Provider Directory

National Provider Directory

Locations

4850 T Rex Ave
Ste 200
Boca Raton, FL 33431

11760 S 700 E
Draper, UT 84020
Phone (801) 572-8043

11760 S 700 E
Ste 210
Draper, UT 84020
Phone (801) 572-8043

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1811150550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SOUTH 700 EAST",
            "address_2": "#210",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "804206604",
            "telephone_number": "801-572-8043",
            "fax_number": "801-576-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SOUTH 700 EAST",
            "address_2": "SUITE #210",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840206604",
            "telephone_number": "801-572-8043",
            "fax_number": "801-576-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L ORME, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "ORME",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "801-572-8043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "UT",
            "license": "180576-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529668077009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LONE PEAK DERMATOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.