Individual provider Active NPI

Abbey M Whiting, MPAS, PA-C

  • Physician Assistant
  • Holladay, UT
National Provider Identifier
1972155224
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11907741-1206 Issued in UT
Practice address
5200 S Highland Drive
Suite 201
Holladay, UT 84117-7003
Phone
(801) 363-3356
Fax
(801) 533-9613
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11907741-1206 UT Primary

Addresses

Primary practice location

5200 S Highland Drive
Suite 201
Holladay, UT 84117-7003

Mailing address

5200 S Highland Drive
Suite 201
Holladay, UT 84117-7003
Phone (801) 363-3356

Other names 1

  • Abbey M Schwab Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aschwab44605@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002470 UT Practitioner - Physician Assistant 8224458435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oculoplastic Surgery IncGroup PAC ID 5799766671, 2 clinicians

Practice addresses (Care Compare)

5200 S Highland Dr
Suite 201
Holladay, UT 84117-7003
Phone (801) 363-3356

755 E 3900
Salt Lake City, UT 84107-2105
Phone (801) 363-3356

Hospital & facility affiliations

  • Intermountain Health Alta View Hospital Hospital, Sandy, UT, CCN 460044
  • Holy Cross Hospital - Salt Lake Hospital, Salt Lake City, UT, CCN 460003

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11907741-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Sep 2, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Sep 2, 2020 Accepting new patients

Locations

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1972155224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 S HIGHLAND DRIVE",
            "address_2": "SUITE 201",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177003",
            "telephone_number": "801-363-3356",
            "fax_number": "801-533-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 S HIGHLAND DRIVE",
            "address_2": "SUITE 201",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841177003",
            "telephone_number": "801-363-3356",
            "fax_number": "801-533-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "ABBEY",
        "middle_name": "M",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11907741-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aschwab44605@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBEY",
            "last_name": "SCHWAB",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

Verify at the official NPI Registry.