Individual provider Active NPI

Heather D. Sojourner, MD

  • Family Medicine Physician
  • South Jordan, UT
National Provider Identifier
1992719884
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5857808-1205 Issued in UT
Practice address
1868 W 9800 S
Suite 100
South Jordan, UT 84095-9060
Phone
(801) 433-2873
Fax
(801) 433-5734
NPI assigned
Jul 28, 2006
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5857808-1205 UT Primary

Addresses

Primary practice location

1868 W 9800 S
Suite 100
South Jordan, UT 84095-9060

Mailing address

1868 W 9800 S
Suite 100
South Jordan, UT 84095-9060
Phone (801) 433-2873

Other identifiers 1

IdentifierTypeStateIssuer
1992719884OtherNPI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000096 UT Practitioner - Family Practice 8224078712 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5857808-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellbe Utah LLC CurrentSince Feb 10, 2023 Accepting new patients
Benjamin N Storz MD PLLC Family Medicine Past Accepting new patients

Locations

225 W Washington St
Ste 1500
Chicago, IL 60606
Phone (312) 776-2422

250 E 200 S
Fl 16
Slc, UT 84111
Phone (312) 776-2422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1992719884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S",
            "address_2": "SUITE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959060",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 W 9800 S",
            "address_2": "SUITE 100",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840959060",
            "telephone_number": "801-433-2873",
            "fax_number": "801-433-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJOURNER",
        "first_name": "HEATHER",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "5857808-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992719884",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Jordan, UT

Sources for this page

Verify at the official NPI Registry.