Individual provider Active NPI

Sarah Danielle Mendenhall, PA-C

  • Surgical Physician Assistant
  • Murray, UT
National Provider Identifier
1891230041
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10194758-1206 Issued in UT
Practice address
5169 S Cottonwood St Ste 600
Murray, UT 84107-6771
Phone
(801) 507-3600
NPI assigned
Dec 26, 2016
Last updated
Dec 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10194758-1206 UT Primary

Addresses

Primary practice location

5169 S Cottonwood St Ste 600
Murray, UT 84107-6771

Mailing address

240 N Pfeifferhorn Dr
Alpine, UT 84004-1569
Phone (801) 473-9008

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170221000842 UT Practitioner - Physician Assistant 7416231329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5373 S Green St
Salt Lake City, UT 84123-4680
Phone (801) 507-4340

585 N 500
Provo, UT 84601-1548
Phone (801) 374-1801

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Jan 1, 2021 Accepting new patients
Valley Obstetrics and Gynecology, P.C. CurrentSince Jan 1, 2021 Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients
Valley Obstetrics and Gynecology, PC Past Accepting new patients

Locations

1248 E 90 N
Ste 300
American Fork, UT 84003
Phone (801) 756-1157

3000 N Triumph Blvd
Ste 210
Lehi, UT 84043
Phone (801) 374-1801

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

585 N 500 W
Ste 500
Provo, UT 84601

118 E Thrive Dr
Saratoga Springs, UT 84045
Phone (801) 407-1599

118 E Thrive Dr
Ste 200
Saratoga Springs, UT 84045
Phone (801) 756-1577

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482710400000",
    "number": "1891230041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N PFEIFFERHORN DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041569",
            "telephone_number": "801-473-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST STE 600",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076771",
            "telephone_number": "801-507-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "SARAH",
        "middle_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-26",
        "last_updated": "2016-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "UT",
            "license": "10194758-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.