Active NPI
Marc Paul Hyde, MD
- Emergency Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1962594879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 355644-1205
- Practice address
- 2637 E Spring Hollow Dr
Salt Lake City, UT 84109-4036 - Phone
- (801) 910-1905
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 355644-1205 | UT | Primary |
| Emergency Medicine Physician | 207P00000X | 26154 | NE |
Addresses
Primary practice location
2637 E Spring Hollow Dr
Salt Lake City, UT 84109-4036
Mailing address
2637 E Spring Hollow Dr
Salt Lake City, UT 84109-4036
Phone (801) 910-1905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26154 | NE | MD | Emergency Medicine Physician |
| 355644-1205 | UT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Georgia Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Houston County Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| North Platte Nebraska Hospital Corporation | Current | Accepting new patients | |
| Crum,Stefanko and Jones LTD | Emergency Medicine | Past | Accepting new patients |
| Alegent Creighton Health | Emergency Medicine | Past | Accepting new patients |
Locations
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Griffin, GA
- NPI 1952746638
-
- Emergency Medicine Physician
- Warner Robins, GA
- NPI 1013338193
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Emergency Medicine Physician
- Perry, GA
- NPI 1467873547
-
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
-
- Emergency Medicine Physician
- Omaha, NE
- NPI 1629343041
-
- Emergency Medicine Physician
- Elko, NV
- NPI 1285645515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962594879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 E SPRING HOLLOW DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841094036",
"telephone_number": "801-910-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2637 E SPRING HOLLOW DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841094036",
"telephone_number": "801-910-1905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "MARC",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "355644-1205",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NE",
"license": "26154",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.