NPIMap

Organization Active NPI

Gordon Petty George, MD, PC

Doing business as InterMountain Pain Specialists

  • Pain Medicine (Anesthesiology) Physician
  • Orem, UT
National Provider Identifier
1962439570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
166871 1205 Issued in UT
Legal business name
GORDON PETTY GEORGE, MD, PC
Doing business as
InterMountain Pain Specialists
Practice address
800 N 700 W
Ste 340a
Orem, UT 84057
Phone
(801) 431-0100
Fax
(801) 431-7354
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gordon P George, MD
Title
President
Phone
(801) 431-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 166871 1205 UT Primary

Addresses

Primary practice location

800 N 700 W
Ste 340a
Orem, UT 84057

Mailing address

255 S Alpine Dr
Alpine, UT 84004-1748
Phone (801) 431-0100

Other names 1

  • InterMountain Pain Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962439570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S ALPINE DR",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041748",
            "telephone_number": "801-431-0100",
            "fax_number": "801-431-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N 700 W",
            "address_2": "STE 340A",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84057",
            "telephone_number": "801-431-0100",
            "fax_number": "801-431-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON PETTY GEORGE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-431-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "166871 1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InterMountain Pain Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orem, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.