NPIMap

Individual provider Active NPI

Mori Samuel Speakman, MD

  • Family Medicine Physician
  • Cedar City, UT
National Provider Identifier
1952564627
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8847116-1205 Issued in UT
Practice address
1303 N Main St
Cedar City, UT 84721-9746
Phone
(435) 868-5000
NPI assigned
Jul 3, 2008
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 275405-1 NY
Family Medicine Physician 207Q00000X 8847116-1205 UT Primary

Addresses

Primary practice location

1303 N Main St
Cedar City, UT 84721-9746

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170120002070 UT Practitioner - Family Practice 2365662046 Reassigns benefits to 2 organizations
I20250612000166 WY Practitioner - Family Practice 2365662046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Healthcare ProjectGroup PAC ID 9931513892, 6 clinicians

Practice addresses (Care Compare)

1300 W Bridge Ave
Saratoga, WY 82331
Phone (307) 326-3090

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275405-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Dec 7, 2016 Accepting new patients
Ihc Health Services CurrentSince Mar 1, 2017 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc CurrentSince Dec 7, 2016 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Platte Valley Clinic Inc. Past Accepting new patients

Locations

1303 N Main St
Cedar City, UT 84721
Phone (435) 586-2229

1303 N Main St
Ste 3C
Cedar City, UT 84721
Phone (435) 867-7433

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18841/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1952564627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30180",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841300180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847219746",
            "telephone_number": "435-868-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEAKMAN",
        "first_name": "MORI",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "275405-1",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "8847116-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

Verify at the official NPI Registry.