Wasatch Pain Solutions, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

7406925-1204 Issued in UT

Legal business name

WASATCH PAIN SOLUTIONS, PC

Practice address

661 W 10600 S
South Jordan, UT 84095-8524

Phone

(801) 302-2690

Fax

(801) 302-2693

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Qamar R. Khan, M.D.NPI 1407026420

Title

President

Phone

(801) 302-2690

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qamar Khan, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • South Jordan, UT
  • NPI 1407026420
  Medicare reassignment NPD Authorized official
• Lilia P Buchmuller, DNP, FNP-C

  • Family Nurse Practitioner
  • South Jordan, UT
  • NPI 1447753355
  Medicare reassignment NPD
• Nicole Stratton, FNP-BC

  • Family Nurse Practitioner
  • Orem, UT
  • NPI 1467264614
  Medicare reassignment NPD
• Shawn M Pendleton, PA-C

  • Physician Assistant
  • South Jordan, UT
  • NPI 1588171060
  Medicare reassignment
• Samuel L Robinson

  • Medical Physician Assistant
  • South Jordan, UT
  • NPI 1689442501
  Medicare reassignment
• Emily Payne

  • Physician Assistant
  • South Jordan, UT
  • NPI 1932874104
  NPD
• Collin Verdel McDonald, PA-C

  • Medical Physician Assistant
  • West Jordan, UT
  • NPI 1154625739
  NPD (past)
• Faustin Chad Vigil

  • Physician Assistant
  • Cottonwood Heights, UT
  • NPI 1821502469
  NPD (past)

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1841531340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 W 10600 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958524",
            "telephone_number": "801-302-2690",
            "fax_number": "801-302-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 W 10600 S",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958524",
            "telephone_number": "801-302-2690",
            "fax_number": "801-302-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH PAIN SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "QAMAR",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-302-2690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "7406925-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil P Wardle, SAC
• Madison Wareham
• Catrina Warner, COTA-L
• Sydney Case Warren, PHYSICIAN ASSISTANT
• Wasatch Dental Group LLC
• Wasatch Pro Monitoring LLC
• Wasatch Tech Iom LLC
• Wasatch View Eye and Laser Clinic LLC
• Wasatch View Eye Care L L C
• Laura Washburn, LMT

• Interventional Pain Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.