DIRECT MD UTAH LLC NPI 1124904057

NPI Information

  • NPI: 1124904057
  • Provider Name: DIRECT MD UTAH LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 7070 S UNION PARK AVE STE 300
    MIDVALE, UT
    ZIP 84047
  • Phone: (801) 421-0200

Map and Directions

Get Directions

NPI Details

DIRECT MD UTAH LLC is a general practice in Midvale, UT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DIRECT MD UTAH LLC NPI is 1124904057. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7070 S UNION PARK AVE STE 300
MIDVALE, UT
ZIP 84047-061
Phone: (801) 421-0200

The provider's authorized official is Travis Winward .
The authorized official title is Manager and has the following contact phone number (208) 740-9076.

The enumeration date for this NPI number is 8/14/2025 and was last updated on 8/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI