Active NPI
Milan Djurich DO
- Physical Medicine & Rehabilitation Physician
- Sandy, UT
National Provider Identifier
1902012727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 104671-1204
- Legal business name
- MILAN DJURICH DO
- Practice address
- 8074 S 1300 E
Sandy, UT 84094-0743 - Phone
- (801) 565-6600
- Fax
- (801) 565-6774
- NPI assigned
- May 16, 2007
- 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
- Cheryl Gehrke
- Title
- Office Manager
- Phone
- (801) 565-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 104671-1204 | UT | Primary |
Addresses
Primary practice location
8074 S 1300 E
Sandy, UT 84094-0743
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19544433702001 | Other | UT | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902012727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 307",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840110307",
"telephone_number": "888-700-6907",
"fax_number": "801-294-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 S 1300 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840940743",
"telephone_number": "801-565-6600",
"fax_number": "801-565-6774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILAN DJURICH DO",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GEHRKE",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "801-565-6600"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "UT",
"license": "104671-1204",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "19544433702001",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.