Active NPI
Douglas Schow Jr., M.D.
- Orthopaedic Surgery Physician
- Provo, UT
National Provider Identifier
1811995004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 1555561205
- Practice address
- 1055 N 300 W
Ste 203
Provo, UT 84604-3344 - Phone
- (801) 374-9053
- Fax
- (801) 357-7869
- NPI assigned
- Jul 12, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1555561205 | UT | Primary |
Addresses
Primary practice location
1055 N 300 W
Ste 203
Provo, UT 84604-3344
Mailing address
1055 N 300 W
Ste 203
Provo, UT 84604-3374
Phone (801) 374-9053
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2440 | Other | UT | PEHP |
| PRA02825 | Other | UT | MOLINA HEALTHCARE |
| QM0000026748 | Other | UT | ALTIUS |
| MD374UT | Medicaid | AK | |
| 107006255101 | Other | INTERMOUNTAIN HEALTHCARE | |
| 156217CU | Other | NY | PREFERRED CARE |
| 35924 | Other | UT | DMBA |
| 870363636SC1 | Other | UT | EMIA |
| 0118504 | Other | WA | LABOR AND INDUSTRIES |
| 0991803 | Other | UT | UNITED HEALTHCARE |
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 |
|---|---|---|---|
| 1555561205 | UT | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1811995004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "STE 203",
"city": "PROVO",
"state": "UT",
"postal_code": "846043374",
"telephone_number": "801-374-9053",
"fax_number": "801-357-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 N 300 W",
"address_2": "STE 203",
"city": "PROVO",
"state": "UT",
"postal_code": "846043344",
"telephone_number": "801-374-9053",
"fax_number": "801-357-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOW",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "1555561205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "2440",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA HEALTHCARE",
"identifier": "PRA02825",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "QM0000026748",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD374UT",
"state": "AK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERMOUNTAIN HEALTHCARE",
"identifier": "107006255101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "156217CU",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "35924",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMIA",
"identifier": "870363636SC1",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0118504",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0991803",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.