Sara Diane Feltz, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7453168-1206 Issued in UT

Practice address

615 Arapeen Drive, Suite 100
Salt Lake City, UT 84108

Phone

(801) 581-7761

NPI assigned

Oct 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Primary Care Sports Med

  • Sports Medicine (Family Medicine) Physician
  • Salt Lake City, UT
  • NPI 1699796706
  NPD (past)

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1821323742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ARAPEEN DRIVE, SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-581-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ARAPEEN DRIVE, SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84108",
            "telephone_number": "801-581-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTZ",
        "first_name": "SARA",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-09",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "7453168-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric C. Felt, D.D.S.
• Jordan Felt
• Marianne Felt
• Michael Joseph Felten, M.D.
• Miley L Feltman
• Robert Zachary Fender
• Stefanie A Fendrick
• Merry Jin Feng, ACMHC
• Xiaomei Feng, MD
• Casey B. Fenger, MD

• Medical Physician Assistant in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.