Individual provider Active NPI

Michael Kuchenthal, PA-C

  • Physician Assistant
  • Farmington, UT
National Provider Identifier
1932764792
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
444 W Bourne Cir Ste 200
Farmington, UT 84025-3657
Phone
(801) 776-0174
Fax
(801) 825-3904
NPI assigned
May 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

444 W Bourne Cir Ste 200
Farmington, UT 84025-3657

Mailing address

2701 SW 13TH St Apt D11
Gainesville, FL 32608-2069

Other practice location 1

2653 W Van Ross Dr
South Jordan, UT 84095-8369
Phone (530) 613-7784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Cardiology PC CurrentSince Dec 1, 1994 Accepting new patients
Physician Group of Utah Inc PastSince Jun 12, 2022 Accepting new patients

Locations

444 W Bourne Cir
Ste 200
Farmington, UT 84025
Phone (801) 397-3000

5682 S 3500 W
Ste 2A
Roy, UT 84067
Phone (801) 776-0174

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.kuchenthal.1@21842.direct.athenahealth.com
  • Direct secure messaging: michael.kuchenthal.p1@direct.utahcardiology.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1932764792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SW 13TH ST APT D11",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 W BOURNE CIR STE 200",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840253657",
            "telephone_number": "801-776-0174",
            "fax_number": "801-825-3904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2653 W Van Ross Dr",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840958369",
            "country_code": "US",
            "telephone_number": "530-613-7784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCHENTHAL",
        "first_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-07",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.