Organization Active NPI

Utah County Medical Associates

  • Obstetrics & Gynecology Physician
  • Springville, UT
National Provider Identifier
1821321597
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7376450-1204 Issued in UT
Legal business name
UTAH COUNTY MEDICAL ASSOCIATES
Practice address
376 E 400 S
Springville, UT 84663-1977
Phone
(801) 477-1400
Fax
(801) 489-0777
NPI assigned
Sep 14, 2009
Last updated
Nov 19, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
UTAH COUNTY MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Authorized official

Name
Mr. Chris Crockett
Title
Executive Administrator
Phone
(801) 465-4899

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 184332-1205 UT
Family Medicine Physician 207Q00000X 175869-1205 UT
Obstetrics & Gynecology Physician 207V00000X 7376450-1204 UT Primary

Addresses

Primary practice location

376 E 400 S
Springville, UT 84663-1977

Mailing address

97 Professional Way
Suite 2
Payson, UT 84651-1614
Phone (801) 465-4896

National Provider Directory

National Provider Directory
Tax ID family
Utah County Medical Associates2 organizations share this tax ID, including this one
Part of
Utah County Medical Associates

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1821321597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 PROFESSIONAL WAY",
            "address_2": "SUITE 2",
            "city": "PAYSON",
            "state": "UT",
            "postal_code": "846511614",
            "telephone_number": "801-465-4896",
            "fax_number": "801-465-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 E 400 S",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "846631977",
            "telephone_number": "801-477-1400",
            "fax_number": "801-489-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH COUNTY MEDICAL ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UTAH COUNTY MEDICAL ASSOCIATES",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "801-465-4899",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "184332-1205",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "175869-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "7376450-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springville, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.