Lakeview Neurology PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

LAKEVIEW NEUROLOGY PC

Practice address

620 Medical Dr
Suite 150
Bountiful, UT 84010-5084

Phone

(801) 298-4112

Fax

(801) 298-5397

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Mohamed Sadiq, MD

Title

President

Phone

(801) 298-4112

Specialties & licenses 1

Addresses

Practitioners 2

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

• Julie K Coates, PT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1336247477
  NPD (past)
• Jane A Koster

  • Clinical Social Worker
  • Des Moines, IA
  • NPI 1255662193
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1861676165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71425",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841710425",
            "telephone_number": "801-942-2729",
            "fax_number": "801-942-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 MEDICAL DR",
            "address_2": "SUITE 150",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840105084",
            "telephone_number": "801-298-4112",
            "fax_number": "801-298-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "SADIQ",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-298-4112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Parker Kwallek
• L.a.C.E. by Louise, Inc.
• Spencer Lee Lake
• Lakeside Dialysis Center University of Utah
• Lakeview Hospital Physician Services LLC
• Lakeview Neurosurgery Clinic LLC
• Lakeview Neurosurgery Clinic, LLC
• Lakeview Neurosurgery Clinic, LLC
• Lakeview Professional Billing
• Lakeview Professional Billing LLC

• Neurological Surgery Physician in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Neurological Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.