Utah Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

8535063-1205 Issued in UT

Legal business name

UTAH UROLOGY LLC

Practice address

415 N Main St
Spanish Fork, UT 84660-1439

Phone

(801) 609-4476

Fax

(801) 734-3964

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Targhee James MorrisNPI 1154648640

Title

President

Phone

(801) 710-0127

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

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

• Targhee James Morris, M.D.

  • Urology Physician
  • Spanish Fork, UT
  • NPI 1154648640
  Medicare reassignment NPD Authorized official
• Brett Blaser, D.O.

  • Family Medicine Physician
  • Ogden, UT
  • NPI 1538471313
  NPD (past)
• Michael Lynn Snarr, DO

  • Family Medicine Physician
  • Cheyenne, WY
  • NPI 1851821995
  NPD (past)

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1851774046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601439",
            "telephone_number": "801-609-4476",
            "fax_number": "801-734-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N MAIN ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601439",
            "telephone_number": "801-609-4476",
            "fax_number": "801-734-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TARGHEE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-710-0127"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "UT",
            "license": "8535063-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.