Partner Medical Ut LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PARTNER MEDICAL UT LLC

Practice address

12393 Gateway Park PL
Suite 50
Draper, UT 84020-2309

Phone

(605) 275-0083

Fax

(866) 590-2137

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Bradley D Severson

Title

President

Phone

(605) 275-0083

Specialties & licenses 1

Addresses

Other names 1

• Partner Medical Doing business as

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1841559424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12393 GATEWAY PARK PL",
            "address_2": "SUITE 50",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202309",
            "telephone_number": "605-275-0083",
            "fax_number": "866-590-2137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 GATEWAY PARK PL",
            "address_2": "SUITE 50",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840202309",
            "telephone_number": "605-275-0083",
            "fax_number": "866-590-2137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNER MEDICAL UT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-275-0083",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Partner Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rylee Parker
• Teanna Parker
• David M Parkinson, O.D.
• Kaylee Parry
• Mitch Parry
• Urvika A. Patel, DPT
• Rachel Patten, LCSW
• Daria Pauk
• Mariah Paul
• Carolynn Paulson

• Durable Medical Equipment & Medical Supplies in Draper, UT
• Providers in Draper, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.