Active NPI
Robert L Orme, MD PC
- Dermatology Physician
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 180576-1205
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Lynn Orme, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529668077009 | Medicaid | UT |
Other names 1
- LONE PEAK DERMATOLOGY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 46D0525211 | Lone Peak Dermatology | Compliance | May 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dermatology Physician
- Draper, UT
- NPI 1174635403
-
- Medical Physician Assistant
- Lehi, UT
- NPI 1134101546
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.