Organization Active NPI

Pamela L. Vincent, MD Corp

  • Neurology Physician
  • Provo, UT
National Provider Identifier
1831394881
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
188338-1205 Issued in UT
Legal business name
PAMELA L. VINCENT, MD CORP
Practice address
280 River Park Dr Ste 350
Provo, UT 84604-5802
Phone
(801) 229-1014
Fax
(801) 229-1067
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amy Beth Harward
Title
Office Manager
Phone
(801) 437-4888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 188338-1205 UT Primary

Addresses

Primary practice location

280 River Park Dr Ste 350
Provo, UT 84604-5802

Mailing address

280 River Park Dr Ste 350
Provo, UT 84604-5802
Phone (801) 229-1014

Other identifiers 1

IdentifierTypeStateIssuer
562842065001MedicaidUT

National Provider Directory

National Provider Directory

Locations

280 River Park Dr
Ste 350
Provo, UT 84604
Phone (801) 223-4860

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831394881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR STE 350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045802",
            "telephone_number": "801-229-1014",
            "fax_number": "801-229-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 RIVER PARK DR STE 350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045802",
            "telephone_number": "801-229-1014",
            "fax_number": "801-229-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA L. VINCENT, MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARWARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-437-4888"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "188338-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562842065001",
            "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 Aug 22, 2020; 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.