Active NPI
Mark V Reichman, M.D.
- Neurological Surgery Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 1732781205
- Practice address
- 5171 Cottonwood St
Suite 950
Murray, UT 84107-5704 - Phone
- (801) 507-9555
- Fax
- (801) 507-9550
- NPI assigned
- Mar 25, 2006
- Last updated
- Aug 16, 2024
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 1732781205 | UT | Primary |
Addresses
Primary practice location
5171 Cottonwood St
Suite 950
Murray, UT 84107-5704
Mailing address
2191 E Pheasant Way
Holladay, UT 84121-1310
Phone (801) 403-3074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529903586002 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1732781205 | UT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Livecare Florida, P.a. | Current | Accepting new patients | |
| Neurosurgical Associates LLC | Neurological Surgery | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Robert G Peterson, MD, PC | Neurological Surgery | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
900 Round Valley Dr
Ste 100
Park City, UT 84060
Phone (435) 655-6600
5171 S Cottonwood St
Ste 950
Salt Lake City, UT 84107
Phone (801) 507-9555
370 Ninth Ave
Ste 111
Salt Lake Cty, UT 84103
Phone (801) 408-2067
400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
370 Ninth Ave
#111
Slc, UT 84103
Phone (801) 408-2067
301 N 200 E
#2B
St George, UT 84770
Phone (435) 652-8411
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Neurological Surgery Physician
- Murray, UT
- NPI 1477695187
-
dba IMED Utah Heart - Panguitch
- Multi-Specialty Clinic/Center
- Panguitch, UT
- NPI 1952535718
-
dba St George Adolescent Partial Hospitalization
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1366065849
-
- Neurological Surgery Physician
- Salt Lake City, UT
- NPI 1629249495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1942260617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2191 E PHEASANT WAY",
"city": "HOLLADAY",
"state": "UT",
"postal_code": "841211310",
"telephone_number": "801-403-3074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5171 COTTONWOOD ST",
"address_2": "SUITE 950",
"city": "MURRAY",
"state": "UT",
"postal_code": "841075704",
"telephone_number": "801-507-9555",
"fax_number": "801-507-9550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHMAN",
"first_name": "MARK",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-25",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "UT",
"license": "1732781205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529903586002",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.