David Lee Furuta, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

188545-1206 Issued in UT

Practice address

17800 Camp Williams Rd
Riverton, UT 84065-4905

Phone

(810) 878-5280

Fax

(801) 878-5144

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952459794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 WASATCH WAY",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840749238",
            "telephone_number": "435-882-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 CAMP WILLIAMS RD",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840654905",
            "telephone_number": "810-878-5280",
            "fax_number": "801-878-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURUTA",
        "first_name": "DAVID",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "188545-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARMY NUMERICAL IDENTIFIER",
            "identifier": "65D",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Jake Freeman, FNP
• Fresenius Medical Care Riverton, LLC (Fresenius Medical Care Riverton Dialysis)
• Stuart Covington Fry, DMD
• Brenda Fuell, RDH
• Laura Fundora Jimenez, DMD
• David Futrell Jr., CPSS
• Amanda Leigh Gagnon
• Nicholas Gajkowski, MD
• Derrick Cripps Gale, M.D.
• Stephanie Galley, CD

• Medical Physician Assistant in Riverton, UT
• Providers in Riverton, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.