Edward Richard Schultz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

348875-1205 Issued in UT

Practice address

1365 W 1000 N
Salt Lake City, UT 84116-1654

Phone

(801) 328-5750

NPI assigned

Dec 22, 2005

Last updated

Dec 31, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Arizona College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Centers IncGroup PAC ID 5991698169, 39 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.schultz@chcsl.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ACFCAA

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.

• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • West Valley City, UT
  • NPI 1952505117
  Medicare reassignment Care Compare group
• Ihc Health Services Inc

  dba IMED Physicians Billing

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1629260880

  Family Medicine

  Medicare reassignment NPD
• Community Health Centers, Inc.

  dba 72nd Street Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Midvale, UT
  • NPI 1073611364

  Family Medicine

  NPD
• Community Health Centers, Inc.

  dba Central City Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Salt Lake City, UT
  • NPI 1316421761

  Family Medicine

  NPD
• Ihc Health Services Inc

  dba LDS Campus GI

  • Gastroenterology Physician
  • Salt Lake City, UT
  • NPI 1568592590
  NPD
• Granger Medical Specialists LLC

  • Clinic/Center
  • West Valley City, UT
  • NPI 1376159368
  NPD (past)
• White Tree Medical Consultants LLC

  • Addiction Medicine (Family Medicine) Physician
  • South Jordan, UT
  • NPI 1497204903
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1942287719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PANORAMA WAY",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242819",
            "telephone_number": "801-274-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 W 1000 N",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841161654",
            "telephone_number": "801-328-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "EDWARD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "348875-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Samuel Schull, LCSW
• Katherine Rose Schulte, RN
• Krista Schulte
• Theodore Schultheiss, MD
• Diana M Schultz
• Heidi Marie Schultz
• Lauren Schultz, NP
• Natalie M Schultz
• Jason Schulz, LCSW
• Laura Elizabeth Schulz

• Family Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.