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INTERMOUNTAIN SPINE PARTNERS NPI 1821458878


NPI Information

NPI: 1821458878
Provider Name: INTERMOUNTAIN SPINE PARTNERS

Doing Business As: INTERMOUNTAIN SPINE INSTITUTE

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 46D0916696

Address:
5770 SOUTH 250 EAST
SUITE 135
SALT LAKE CITY, UT
ZIP 84107
Phone: (801) 314-2225
Get Directions

INTERMOUNTAIN SPINE PARTNERS is an orthopaedic surgery of the spine orthopaedic surgery in Salt Lake City, UT. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. INTERMOUNTAIN SPINE PARTNERS NPI is 1821458878. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Intermountain Spine Institute.

The provider's business location address is:

5770 SOUTH 250 EAST
SUITE 135
SALT LAKE CITY, UT
ZIP 84107-241
Phone: (801) 314-2225
Fax: (801) 314-2345

The provider's authorized official is Reed Eugene Fogg .
The authorized official title is Director and has the following contact phone number (801) 314-2225.

The CLIA number assigned to this NPI record is 46D0916696 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2016 and was last updated on 3/3/2016.


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
1208100000XPhysical Medicine & RehabilitationNo
2363A00000XPhysician AssistantNo
3207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

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

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