James Lavar Stayner, MD
Individual provider Active NPI Internal Medicine Physician · Salt Lake City, UT
NPI 1992021471 · NPPES record last updated Jun 12, 2013
Key facts
- NPI
- 1992021471
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 8137348-1205 (UT)
- Practice address
- 50 N Medical Dr
Salt Lake City, UT 84132-0001 - Phone
- (801) 581-2401
- NPI assigned
- Apr 9, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Utah School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
201 W Layton Pkwy
Layton, UT 84041-3692
4401 Harrison Blvd
Ogden, UT 84403-3195
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Enhabit Hospice
- Intermountain Health Layton Hospital
- Intermountain Health McKay-Dee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Enhabit Hospice |
Hospice | Contracted Managing Employee | Aug 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130903000520 | UT | Practitioner - Internal Medicine | 4688817109 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Internal Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 8137348-1205 | UT | Yes |
Addresses
Primary practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2401
Other providers in Salt Lake City, UT
- Tyler Michael Staten
- Judith Staub
- Velvet Staub
- Catherine Elizabeth Stauber
- Elizabeth Wheelwright Stauffer
- Katherine Stayner
- Desiree Steadman-Gallegos
- Sheryl Jean Steadman
- Spencer Kyle Steadman
- Bennett Steans
All providers in Salt Lake City, UT · Internal Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.