Individual provider Active NPI

Kevin Stigge, MD

  • Internal Medicine Physician
  • Sandy, UT
National Provider Identifier
1972528982
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
185376-8905 Issued in UT
Practice address
10965 S State St
#100
Sandy, UT 84070-4270
Phone
(801) 572-0311
Fax
(801) 571-1369
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 185376-8905 UT Primary

Addresses

Primary practice location

10965 S State St
#100
Sandy, UT 84070-4270

Mailing address

5630 Waterbury Way
B-102
Salt Lake City, UT 84121-1182
Phone (801) 572-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185376-8905UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Integrated Care, LLC Past Accepting new patients
Utah Physicians Care Centers PC Internal Medicine Past Accepting new patients
Utah Physicians Care Center Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15147/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972528982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 WATERBURY WAY",
            "address_2": "B-102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211182",
            "telephone_number": "801-572-0311",
            "fax_number": "801-571-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10965 S STATE ST",
            "address_2": "#100",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704270",
            "telephone_number": "801-572-0311",
            "fax_number": "801-571-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIGGE",
        "first_name": "KEVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "185376-8905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.