NATHAN W DAVIS DPM PC NPI 1679763494

NPI Information

NPI: 1679763494
Provider Name: NATHAN W DAVIS DPM PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
154 MYRTLE AVE
SUITE 201
MURRAY, UT
ZIP 84107
Phone: (801) 743-2909
Get Directions

NATHAN W DAVIS DPM PC is a foot and ankle surgery podiatrist in Murray, UT. NATHAN W DAVIS DPM PC NPI is 1679763494. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

154 MYRTLE AVE
SUITE 201
MURRAY, UT
ZIP 84107-849
Phone: (801) 743-2909
Fax: (801) 288-9505

The provider's authorized official is Thia Hamblin .
The authorized official title is Office Manager and has the following contact phone number (801) 743-2909.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 12/2/2009.

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
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	49208910501	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	002189004	OTHER	UTAH	MEDICAID NEVADA
2	QM000061991	OTHER	UTAH	ALTIUS
3	P00057743	OTHER	UTAH	RAILROAD MEDICARE
4	=========	OTHER	UTAH	COMMERCIAL
5	=========DAV	OTHER	UTAH	EDUCATORS MUTUAL
6	2700110	OTHER	UTAH	UNITED HEALTH CARE
7	528271194007	MEDICAID	UTAH
8	123401800	OTHER	UTAH	US DEPT OF LABOR
9	418216001	OTHER	UTAH	CIGNA MEDICARE
10	000057214	MEDICARE PIN	UTAH
11	49208910503001	OTHER	UTAH	BLUE CROSS BLUE SHIELD
12	U84711	MEDICARE UPIN	UTAH
13	5489420001	MEDICARE NSC	UTAH

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

NPI Synchronization or Removal

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