Active NPI
Phillip Darrell Beck, P.A.
- Physician Assistant
- West Jordan, UT
National Provider Identifier
1881881183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 295966-1206
- Practice address
- 7611 S Jordan Landing Blvd
Suite 200
West Jordan, UT 84084-5610 - Phone
- (801) 260-1919
- NPI assigned
- Oct 1, 2007
- Last updated
- Dec 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 295966-1206 | UT | Primary |
Addresses
Primary practice location
7611 S Jordan Landing Blvd
Suite 200
West Jordan, UT 84084-5610
Mailing address
7611 S Jordan Landing Blvd
Suite 200
West Jordan, UT 84084-5610
Phone (801) 260-1919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunter Medical Center, Inc | Past | Accepting new patients | |
| After Hours Medical LLC | Past | Accepting new patients | |
| Advanced Orthopedics & Sports Medicine | Past | Accepting new patients | |
| Direct Care Medical Home Clinic LLC | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1710019831
-
- Primary Care Clinic/Center
- West Jordan, UT
- NPI 1730507161
-
dba Jordan Meadows Medical Center
- Family Medicine Physician
- West Valley, UT
- NPI 1194860569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355270400000",
"number": "1881881183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD",
"address_2": "SUITE 200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845610",
"telephone_number": "801-260-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7611 S JORDAN LANDING BLVD",
"address_2": "SUITE 200",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840845610",
"telephone_number": "801-260-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECK",
"first_name": "PHILLIP",
"middle_name": "DARRELL",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2012-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "295966-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.