Palliative Specialty Group LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5096442-1205 Issued in UT

Legal business name

PALLIATIVE SPECIALTY GROUP LLC

Practice address

1106 E 6600 S
Murray, UT 84121-2446

Phone

(801) 930-5266

Fax

(801) 930-5272

NPI assigned

Sep 18, 2015

Organization subpart

No

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

Authorized official

Name

Erin Bennett

Title

Owner

Phone

(801) 930-5266

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1831568906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E 6600 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212446",
            "telephone_number": "801-930-5266",
            "fax_number": "801-930-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E 6600 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841212446",
            "telephone_number": "801-930-5266",
            "fax_number": "801-930-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE SPECIALTY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-930-5266"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5096442-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Management Professionals LLC
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• Sean Michael Paladini, R.D.
• Joseph Alexander Palatinus, M.D., PH.D.
• Palliative Care for Utah LLC
• Arnold Paige Palmer
• Sunny Pandita, MD
• Leonardo Panizza
• Cynthia Lee Papadopoulos, PAC
• Elizabeth S Papenfuss

• Family Medicine Physician in Murray, UT
• Providers in Murray, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.