Provider Type Icon

THE ADDICTION MEDICINE PHYSICIANS GROUP LLC NPI 1790273704


NPI Information

NPI: 1790273704
Provider Name: THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC
Classification: Anesthesiology - 207LA0401X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
9160 S 300 E. STE 25
SANDY, UT
ZIP 84070
Phone: (801) 859-8092
Get Directions

THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC is an addiction medicine anesthesiology in Sandy, UT. The provider is an anesthesiologist who specializes in the diagnosis and treatment of addictions. THE ADDICTION MEDICINE PHYSICIANS GROUP, LLC NPI is 1790273704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9160 S 300 E. STE 25
SANDY, UT
ZIP 84070
Phone: (801) 859-8092
Fax: (844) 965-9279

The provider's authorized official is Terrell Lee Sellers .
The authorized official title is Medical Director and has the following contact phone number (801) 859-8092.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 4/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WA0400XRegistered NurseAddiction (Substance Use Disorder)311613-3102UTAHNo
2207LA0401XAnesthesiologyAddiction Medicine293281-1205UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.