NPIMap

Organization Active NPI

Valley Obstetrics and Gynecology, P.C.

Doing business as Valley Obstetrics and Gynecology - Gyn/Onc

  • Gynecologic Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1962923433
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
6019946-1205 Issued in UT
Legal business name
VALLEY OBSTETRICS AND GYNECOLOGY, P.C.
Doing business as
Valley Obstetrics and Gynecology - Gyn/Onc
Valley Women's Health - Gyn/Onc
Practice address
1250 E 3900 S Ste 200
Salt Lake City, UT 84124-1368
Phone
(385) 347-5450
Fax
(385) 474-6961
NPI assigned
Jul 5, 2017
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Dana Morrison
Title
Credentialing
Phone
(801) 374-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 6019946-1205 UT Primary

Addresses

Primary practice location

1250 E 3900 S Ste 200
Salt Lake City, UT 84124-1368

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 756-9635

Other practice location 1

3000 N Triumph Blvd Ste 210
Lehi, UT 84043-4999
Phone (385) 347-5450

Other practice location 2

700 W 800 N Ste 200
Orem, UT 84057-6316
Phone (385) 347-5450

Other practice location 3

585 N 500 W
Provo, UT 84601-1548
Phone (385) 347-5450

Other names 2

  • Valley Obstetrics and Gynecology - Gyn/Onc Doing business as
  • Valley Women's Health - Gyn/Onc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000547 UT Part B Supplier - Clinic/Group Practice 5890862726 Receives reassigned benefits from 109 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lehi, UT; American Fork, UT; Vineyard, UT; St George, UT; Springville, UT; Spanish Fork, UT; Saratoga Springs, UT; Provo, UT…

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Valley Obstetrics Gynclgy10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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": "1499212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1962923433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-756-9635",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241368",
            "telephone_number": "385-347-5450",
            "fax_number": "385-474-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 N Triumph Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840434999",
            "country_code": "US",
            "telephone_number": "385-347-5450",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 W 800 N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840576316",
            "country_code": "US",
            "telephone_number": "385-347-5450",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "585 N 500 W",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846011548",
            "country_code": "US",
            "telephone_number": "385-347-5450",
            "fax_number": "801-216-8357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY OBSTETRICS AND GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-05",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "801-374-5000"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "UT",
            "license": "6019946-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Obstetrics and Gynecology - Gyn/Onc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Women's Health - Gyn/Onc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Women's Health - Gyn/Onc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.