NPIMap

Organization Active NPI

Tooele Orthopedics & Sports Medicine Specialists

  • Orthopaedic Surgery Physician
  • Tooele, UT
National Provider Identifier
1912908534
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS
Practice address
1929 Aaron Dr
Suite L
Tooele, UT 84074-8112
Phone
(435) 833-9180
NPI assigned
Aug 4, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
John Antoni Douglas, DONPI 1851391908
Title
President
Phone
(435) 833-9180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X UT Primary

Addresses

Primary practice location

1929 Aaron Dr
Suite L
Tooele, UT 84074-8112

Mailing address

1929 Aaron Dr
Suite L
Tooele, UT 84074-8112
Phone (435) 833-9180

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912908534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 AARON DR",
            "address_2": "SUITE L",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-833-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 AARON DR",
            "address_2": "SUITE L",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840748112",
            "telephone_number": "435-833-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTONI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-833-9180",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tooele, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.