MICHAEL S JENNINGS MD NPI 1811962772

NPI Information

  • NPI: 1811962772
  • Provider Name: MICHAEL S JENNINGS, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4525 WASATCH BLVD
    STE 310
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 998-8492

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NPI Details

Michael S Jennings, MD is a family medicine in Salt Lake City, UT. 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. Michael S Jennings, MD NPI is 1811962772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4525 WASATCH BLVD
STE 310
SALT LAKE CITY, UT
ZIP 84124-700
Phone: (801) 998-8492
Fax: (801) 998-8489

The enumeration date for this NPI number is 2/22/2006 and was last updated on 12/27/2009.

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
1207Q00000XFamily Medicine2637851205UTAHYes

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
1A49007MEDICARE UPIN
2005553103MEDICARE ID-TYPE UNSPECIFIEDUTAH
3870573947004MEDICAIDUTAH

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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