Ihc Health Services Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

2072-07 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

Medical Tower Specialty Clinic

Practice address

5770 S 250 E
Suite 415
Murray, UT 84107-8100

Phone

(801) 314-4890

NPI assigned

Feb 22, 2007

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 2

Addresses

Other names 1

• Medical Tower Specialty Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Practitioners 5

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.

• Ramie Best, FNP

  • Nurse Practitioner
  • Provo, UT
  • NPI 1265223523
  NPD
• Tyler Jason Fieldsted, DO

  • Family Medicine Physician
  • Provo, UT
  • NPI 1033452271
  NPD
• Kellen A Hilton, MD

  • Physical Medicine & Rehabilitation Physician
  • Provo, UT
  • NPI 1871080879
  NPD
• John Hooley, PA-C

  • Physician Assistant
  • Murray, UT
  • NPI 1922481696
  NPD
• Tyson Jensen Tidwell, D.O.

  • Pediatrics Physician
  • Heber City, UT
  • NPI 1215347463
  NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1932234036",
    "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": "801-314-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 S 250 E",
            "address_2": "SUITE 415",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841078100",
            "telephone_number": "801-314-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "2072-07",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "UT",
            "license": "2072-07",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Tower Specialty Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Anderson & Rasmussen General Surgery)
• Ihc Health Services Inc (Cottonwood Internal Medicine)
• Ihc Health Services Inc (Intermountain Plastic Surgery Center)
• Ihc Health Services Inc (WorkMed Murray)
• Ihc Health Services Inc (CMT Dexa)
• Ihc Health Services Inc (Cottonwood Head and Neck Oncology ENT)
• Ihc Health Services Inc (Connect Care - Behavioral Health)
• Ihc Health Services Inc (Int Heart Cardiology)
• Ihc Health Services Inc (INT Trauma General Surgery)
• Ihc Health Services, Inc. (Intermountain Health Intermountain Medical Center)

• Endocrinology, Diabetes & Metabolism Physician in Murray, UT
• Providers in Murray, UT by specialty
• Endocrinology, Diabetes & Metabolism Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.