Vern Medical Trust

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

63574 Issued in UT

Legal business name

VERN MEDICAL TRUST

Practice address

870 E 9400 S
Suite 104
Sandy, UT 84094-3666

Phone

(801) 553-8088

Fax

(801) 553-9410

NPI assigned

Apr 17, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul W. Saxton, D.O.

Title

Doctor

Phone

(801) 553-8088

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1982847109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 E 9400 S",
            "address_2": "SUITE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943666",
            "telephone_number": "801-553-8088",
            "fax_number": "801-553-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 E 9400 S",
            "address_2": "SUITE 104",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943666",
            "telephone_number": "801-553-8088",
            "fax_number": "801-553-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERN MEDICAL TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "SAXTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "801-553-8088",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "UT",
            "license": "63574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Sandy, UT
• Providers in Sandy, UT by specialty
• Exclusive Provider Organization in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.