Active NPI
J Eric Vanderhooft, MD
- Orthopaedic Hand Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1821080326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 2747311205
- Practice address
- 1160 E 3900 S
#5000
Salt Lake City, UT 84124-1275 - Phone
- (801) 262-8486
- Fax
- (801) 284-8699
- NPI assigned
- Aug 19, 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 Hand Surgery Physician | 207XS0106X | 2747311205 | UT | Primary |
Addresses
Primary practice location
1160 E 3900 S
#5000
Salt Lake City, UT 84124-1275
Mailing address
1160 E 3900 S
#5000
Salt Lake City, UT 84124-1275
Phone (801) 262-8486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0719 | Medicaid | UT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1821080326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 E 3900 S",
"address_2": "#5000",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241275",
"telephone_number": "801-262-8486",
"fax_number": "801-284-8699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 E 3900 S",
"address_2": "#5000",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841241275",
"telephone_number": "801-262-8486",
"fax_number": "801-284-8699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDERHOOFT",
"first_name": "J ERIC",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "UT",
"license": "2747311205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D0719",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.