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JEFFREY M WALLENTINE MD NPI 1124121934


NPI Information

NPI: 1124121934
Provider Name: JEFFREY M WALLENTINE, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: CENTRAL UTAH CLINIC, P.C.

PECOS Registration: Yes

Address:
1055 N 500 W
SUITE 121
PROVO, UT
ZIP 84604
Phone: (801) 373-7350
Get Directions

Jeffrey M Wallentine, MD is an orthopaedic surgery in Provo, UT with 32 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Jeffrey M Wallentine, MD NPI is 1124121934. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

1055 N 500 W
SUITE 121
PROVO, UT
ZIP 84604-305
Phone: (801) 373-7350
Fax: (801) 812-5401

The NPI 1124121934 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Repair of knee joint (HCPCS:27447)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

The enumeration date for this NPI number is 9/7/2006 and was last updated on 2/13/2020.


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
1207X00000XOrthopaedic Surgery356423-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
168080OTHERUTAHPEHP
2870281028WALOTHERUTAHEMIA
3344490OTHERUTAHDMBA
4107008449102OTHERUTAHIHC
509-00180OTHERUTAHUTAH HEALTHCARE
6200045124OTHERUTAHPALMETTO
7870281028000MEDICAIDUTAH
8QM000056640OTHERUTAHALTIUS

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: 11/14/2023

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.