Organization Active NPI

Larry E Urry MD PC

Doing business as DrUMD

  • Dermatology Physician
  • Washington Terrace, UT
National Provider Identifier
1871838847
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
177611-1205 Issued in UT
Legal business name
LARRY E URRY MD PC
Doing business as
DrUMD
Practice address
434 E 5350 S Ste D
Washington Terrace, UT 84405
Phone
(801) 827-9100
Fax
(801) 827-9110
NPI assigned
Dec 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Mary J Urry
Title
Practice Administrator/Officer
Phone
(801) 390-4536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 177611-1205 UT Primary

Addresses

Primary practice location

434 E 5350 S Ste D
Washington Terrace, UT 84405

Mailing address

434 E 5350 S Ste D
Ogden, UT 84405-5417
Phone (801) 827-9100

Other practice location 1

1030 Medical Dr Ste A
Brigham City, UT 84302-3276
Phone (801) 827-9100

Other practice location 2

4403 Harrison Blvd
Suite 2635
Ogden, UT 84403-3271
Phone (801) 387-3515

Other identifiers 1

IdentifierTypeStateIssuer
000011725OtherUTMEDICARE PTAN

Other names 1

  • DrUMD Doing business as

National Provider Directory

National Provider Directory

Locations

520 Medical Dr
Ste 320
Bountiful, UT 84010
Phone (801) 294-4910

434 E 5350 S
Ste D
Washington Tr, UT 84405
Phone (435) 787-0560

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1871838847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE D",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844055417",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 E 5350 S STE D",
            "city": "WASHINGTON TERRACE",
            "state": "UT",
            "postal_code": "84405",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1030 Medical Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Brigham City",
            "state": "UT",
            "postal_code": "843023276",
            "country_code": "US",
            "telephone_number": "801-827-9100",
            "fax_number": "801-827-9110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4403 Harrison Blvd",
            "address_2": "Suite 2635",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844033271",
            "country_code": "US",
            "telephone_number": "801-387-3515",
            "fax_number": "801-387-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LARRY E URRY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-03",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "URRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR/OFFICER",
        "authorized_official_telephone_number": "801-390-4536"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "UT",
            "license": "177611-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "000011725",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DrUMD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DrUMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Terrace, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.