Novellus Integrative Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVELLUS INTEGRATIVE MEDICINE, LLC

Practice address

3397 N 1200 E Ste 108
Lehi, UT 84043-3262

Phone

(801) 416-0884

NPI assigned

Sep 8, 2020

Organization subpart

No

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

Authorized official

Name

Nicolas Izatt

Title

Manager

Phone

(801) 416-0884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599523200000",
    "number": "1992310825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3397 N 1200 E STE 108",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433262",
            "telephone_number": "801-416-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3397 N 1200 E STE 108",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433262",
            "telephone_number": "801-416-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVELLUS INTEGRATIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "IZATT",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-416-0884"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.