Active NPI
Michael Kuchenthal, PA-C
- Physician Assistant
- Farmington, UT
National Provider Identifier
1932764792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Cardiology PC | Current | Accepting new patients | |
| Physician Group of Utah Inc | Past | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- michael.kuchenthal.1@21842.direct.athenahealth.com
- 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.
-
- Medical Specialty Clinic/Center
- Farmington, UT
- NPI 1477643179
-
- Specialist
- South Jordan, UT
- NPI 1477676930
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.