Gon T Lam, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7898033-4405 Issued in UT

Practice address

8 TH Avenue & C St
SLC, UT 84143-0001

Phone

(801) 408-1100

NPI assigned

Jul 15, 2015

Last updated

Apr 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Odyssey House Inc.Group PAC ID 2365458833, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 463501 Intermountain Medical Center Dialysis Services Dialysis facility, Murray, UT, CCN 463501
• Intermountain Medical Center Hospital, Murray, UT, CCN 460010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment Care Compare group NPD
• Odyssey House Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033143706
  Medicare reassignment Care Compare group NPD
• Revived Wellness LLC

  • Family Medicine Physician
  • Centerville, UT
  • NPI 1891653523
  Medicare reassignment NPD
• Silverton Group LLC

  • Hospitalist Physician
  • Murray, UT
  • NPI 1629303169
  Medicare reassignment NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• Ihc Health Services Inc

  dba Hillcrest Pediatrics

  • Pediatrics Physician
  • Murray, UT
  • NPI 1659569358
  NPD
• Odyssey House Inc

  dba Odyssey House Martindale Clinic

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1407481245
  NPD
• University of Utah Adult Services

  dba University of Utah Hospital Radiology Department

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD
• University of Utah Adult Services

  dba Huntsman Cancer Institute, Hematology-Oncology

  • Hematology & Oncology Physician
  • Salt Lake City, UT
  • NPI 1932507803
  NPD
• Odyssey House Corp

  • Substance Abuse Rehabilitation Facility
  • Salt Lake City, UT
  • NPI 1104265537
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  dba Intermountain Medical Center Dialysis Services

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Murray, UT
  • NPI 1083768071

  Dialysis facility

  Care Compare affiliation Name & address match
• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1891179339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-408-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TH AVENUE & C ST",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841430001",
            "telephone_number": "801-408-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "GON",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "7898033-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuri Kubotera
• William Eugene Kunzler, PHARMD
• Judith Diana Kupferschmid, RN
• Richard Francis Labasky, MD
• Shalisa Ladd
• Chelsea Lambrose
• Mark Jefferson Lance
• Jeffery Rolla Landis
• Laura Landward
• Brandon Lane

• Family Nurse Practitioner in SLC, UT
• Providers in SLC, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.