Active NPI
Catholic Health Initiatives Colorado
- Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1871280131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CATHOLIC HEALTH INITIATIVES COLORADO
- Practice address
- 82 S 1100 E Ste 103
Salt Lake City, UT 84102-1889 - Phone
- (801) 384-4640
- Fax
- (801) 208-6375
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela J Skinner
- Title
- Administrator, Oma
- Phone
- (303) 673-7175
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
82 S 1100 E Ste 103
Salt Lake City, UT 84102-1889
Mailing address
PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104
Other names 1
- Breast Surgery Salt Lake City
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230615001995 | UT | Part B Supplier - Clinic/Group Practice | 8022927342 |
Receives reassigned benefits from 168 practitioners This NPI is an additional NPI on the enrollment Practice locations: South Jordan, UT; West Jordan, UT; West Valley, UT; West Valley City, UT; Eagle Mountain, UT; Salt Lake City, UT; Cottonwood Heights, UT; Kaysville, UT… |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Myton, UT
- NPI 1194161190
-
- Nurse Practitioner
- Riverton, UT
- NPI 1942723549
-
- Surgical Physician Assistant
- West Jordan, UT
- NPI 1043561517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1871280131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 800022",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641800022",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 S 1100 E STE 103",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021889",
"telephone_number": "801-384-4640",
"fax_number": "801-208-6375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHOLIC HEALTH INITIATIVES COLORADO",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "SKINNER",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR, OMA",
"authorized_official_telephone_number": "303-673-7175",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Breast Surgery Salt Lake City",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Salt Lake City, UT
- Catholic Health Initiatives Colorado (SSSL Spec Surg SLC)
- Catholic Health Initiatives Colorado (Ossl Ortho Sport SLC)
- Catholic Health Initiatives Colorado
- Catholic Health Initiatives Colorado (Cardiac & Thoracic Surgery Salt Lake City)
- Catholic Health Initiatives Colorado (Neuroscience & Rehabilitation Salt Lake City)
- Catholic Health Initiatives Colorado (PLSL Pulm CC SM SLC)
- Sarah Caudill
- Breanna Caudle, OTD- OT
- Kelly A Caughey
- Erin K. Caulder, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.