Active NPI
Pamela L. Vincent, MD Corp
- Neurology Physician
- Provo, UT
National Provider Identifier
1831394881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 188338-1205
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562842065001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Provo, UT
- NPI 1295925642
-
- Public Health & General Preventive Medicine Physician
- Buena Park, CA
- NPI 1265695811
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Anaheim, CA
- NPI 1376544874
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.