Ihc Health Services Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

IHC HEALTH SERVICES INC

Practice address

395 W Cougar Blvd Ste 704
Provo, UT 84604-3333

Phone

(801) 357-3242

NPI assigned

Jul 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mark Briesacher, MD

Title

Chief Phys Exec and Pres Med Group

Phone

(801) 442-3495

Specialties & licenses 1

Addresses

Other names 1

• Utah Valley Urology Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ernest F Baldwin III, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1215978234
  NPD
• Tyler Joseph Bickel, M.D.

  • Internal Medicine Physician
  • Bountiful, UT
  • NPI 1861717837
  NPD
• Jordan Lee Blackham, PA-C

  • Physician Assistant
  • Saint George, UT
  • NPI 1790337046
  NPD
• Catherine E Burton, MD

  • Emergency Medicine Physician
  • Bountiful, UT
  • NPI 1114940954
  NPD
• Ronald Herbert Lepley, FNP-C

  • Family Nurse Practitioner
  • Park City, UT
  • NPI 1588611495
  NPD

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1922529601",
    "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": "801-357-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W COUGAR BLVD STE 704",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043333",
            "telephone_number": "801-357-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "BRIESACHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF PHYS EXEC AND PRES MED GROUP",
        "authorized_official_telephone_number": "801-442-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Utah Valley Urology Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Utah Valley Urology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services Inc
• Ihc Health Services, Inc
• Ihc Health Services, Inc

• Urology Physician in Provo, UT
• Providers in Provo, UT by specialty
• Urology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.