DR. MARK STEVEN GOTTLIEB D.O. NPI 1174843643

NPI Information

  • NPI: 1174843643
  • Provider Name: DR. MARK STEVEN GOTTLIEB, D.O.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1403 E SEGO LILY DR # 100B
    SANDY, UT
    ZIP 84092
  • Phone: (801) 316-9620

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NPI Details

DR. Mark Steven Gottlieb, D.O. is a family medicine in Sandy, UT with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Mark Steven Gottlieb, D.O. NPI is 1174843643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1990

The provider's business location address is:

1403 E SEGO LILY DR # 100B
SANDY, UT
ZIP 84092-350
Phone: (801) 316-9620
Fax: (801) 316-9626

The NPI 1174843643 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 enumeration date for this NPI number is 6/8/2010 and was last updated on 3/18/2025.

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
1207Q00000XFamily MedicineOS007588LPENNSYLVANIANo
2207Q00000XFamily MedicineDO2844NEVADANo
3207Q00000XFamily Medicine14197633-1204UTAHYes

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

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