Individual provider Active NPI

Michael Dean Marion, M.D.

  • Plastic Surgery Physician
  • Lehi, UT
National Provider Identifier
1942402433
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
8217905-1205 Issued in UT
Practice address
310 N 850 E Ste a
Lehi, UT 84043-8623
Phone
(801) 331-8554
Fax
(801) 341-8009
NPI assigned
Jun 5, 2007
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 8217905-1205 UT Primary
Surgery Physician 208600000X 50393 WI

Addresses

Primary practice location

310 N 850 E Ste a
Lehi, UT 84043-8623

Mailing address

310 N 850 E Ste a
Lehi, UT 84043-8623
Phone (801) 331-8554

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000231 UT Practitioner - Plastic and Reconstructive Surgery 8325125339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lehi Surgical Center Plastic Surgery CurrentSince Oct 1, 2022 Accepting new patients
Steelemd CurrentSince Aug 18, 2024 Accepting new patients

Locations

310 N 850 E
Ste A
Lehi, UT 84043
Phone (385) 336-7461

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1942402433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N 850 E STE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438623",
            "telephone_number": "801-331-8554",
            "fax_number": "801-341-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 850 E STE A",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840438623",
            "telephone_number": "801-331-8554",
            "fax_number": "801-341-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "MICHAEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "8217905-1205",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "50393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.