Ihc Health Services Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

55963 Issued in UT

Legal business name

IHC HEALTH SERVICES INC

Doing business as

South Sandy Clinic

Practice address

955 E 11400 S
Sandy, UT 84094-6946

Phone

(801) 571-0030

NPI assigned

Feb 21, 2007

Last updated

Jul 30, 2008By 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

Dr. Linda C Leckman, MD

Title

Ceo Intermountain Medical Group

Phone

(801) 442-3974

Specialties & licenses 1

Addresses

Other names 1

• South Sandy Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Thomas Dane, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Provo, UT
  • NPI 1083629828
  NPD
• Nina Davis, NP

  • Nurse Practitioner
  • Sandy, UT
  • NPI 1265090922
  NPD
• Julianne Fallentine, CFNP

  • Family Nurse Practitioner
  • SLC, UT
  • NPI 1356366181

  Family Medicine

  NPD
• Carlos Alejandro Guerra, M.D.

  • Family Medicine Physician
  • Salt Lake City, UT
  • NPI 1891772612
  NPD
• Keyana R Khedmati

  • Physician Assistant
  • Murray, UT
  • NPI 1679134878
  NPD
• Lucia Lam, NP

  • Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1679438147
  NPD
• Adam Lecroy, PA-C

  • Physician Assistant
  • Bluffdale, UT
  • NPI 1497916712

  Family Medicine

  NPD
• Tavia Mathers, A.P.R.N

  • Nurse Practitioner
  • Provo, UT
  • NPI 1487802914
  NPD
• Samuel S May

  • Family Nurse Practitioner
  • Ogden, UT
  • NPI 1689369159

  Single Specialty

  NPD
• Mark A. Nolan, MD

  • Neonatal-Perinatal Medicine Physician
  • Salt Lake City, UT
  • NPI 1265926570
  NPD
• Derek Omori, PA

  • Physician Assistant
  • Riverton, UT
  • NPI 1699143263
  NPD
• Michael Anthony Pirozzi, M.D.

  • Hospitalist Physician
  • Salt Lake City, UT
  • NPI 1215109731
  NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1992830103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-571-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E 11400 S",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840946946",
            "telephone_number": "801-571-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHC HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "LECKMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
        "authorized_official_telephone_number": "801-442-3974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "55963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sandy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ihc Health Services Inc (Alta View Plastic Surgery Specialists)
• Ihc Health Services Inc (Alta View Specialty Clinic)
• Ihc Health Services Inc (Lone Peak Orthopedics)
• Ihc Health Services Inc
• Ihc Health Services Inc (Intermountain Health Alta View Hospital)
• Ihc Health Services Inc (Alta View Clinic - Women's Health)
• Ihc Health Services, Inc. (Intermountain Health Infusion Center - A Service of LDS Hospital)
• Il Significato
• Inner Kompis Counseling
• Inner Peace Wellness Center, LLC

• Family Medicine Physician in Sandy, UT
• Providers in Sandy, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.