Utah Podiatric Physicians and Surgeons Group LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

7899779-0501 Issued in UT

Legal business name

UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC

Practice address

5455 W 11000 N
#203
Highland, UT 84003-8800

Phone

(801) 699-0530

Fax

(801) 763-9225

NPI assigned

May 3, 2017

Organization subpart

No

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

Authorized official

Name

Daniel L Preece, DPM

Title

Chairman

Phone

(801) 532-1822

Specialties & licenses 3

Addresses

Other names 1

• Utah Musculoskeletal Specialists (UMS) Doing business as

Locations

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1912433426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S 700 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021357",
            "telephone_number": "801-532-1822",
            "fax_number": "801-532-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 W 11000 N",
            "address_2": "#203",
            "city": "HIGHLAND",
            "state": "UT",
            "postal_code": "840038800",
            "telephone_number": "801-699-0530",
            "fax_number": "801-763-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH PODIATRIC PHYSICIANS AND SURGEONS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "PREECE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "801-532-1822",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "7899779-0501",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "7899779-0501",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "7899779-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Musculoskeletal Specialists (UMS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Utah Spinal Works
• Nicholas Vanalfen, DDS
• Wal-Mart Stores, Inc
• Melissa Marie Wall, COTA/L
• Charles Wesley Walton, MD

• Foot & Ankle Surgery Podiatrist in Highland, UT
• Providers in Highland, UT by specialty
• Foot & Ankle Surgery Podiatrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.