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MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY PLLC NPI 1871976985


NPI Information

NPI: 1871976985
Provider Name: MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY, PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
880 E 9400 S STE 112
SANDY, UT
ZIP 84094
Phone: (801) 938-9627
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MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY, PLLC is a gynecology obstetrics gynecology in Sandy, UT. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee MT. TIMPANOGAS FERTILITY & ENDOCRINOLOGY, PLLC NPI is 1871976985. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

880 E 9400 S STE 112
SANDY, UT
ZIP 84094-134
Phone: (801) 938-9627
Fax: (801) 666-6915

The provider's authorized official is Hansel Rayner .
The authorized official title is Owner and has the following contact phone number (801) 938-9627.

The enumeration date for this NPI number is 7/7/2015 and was last updated on 11/3/2015.


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
1363AM0700XPhysician AssistantMedical6814504-1206UTAHNo
2207VG0400XObstetrics & GynecologyGynecologyYes

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
1000066779MEDICARE PINUTAH
21356319842OTHERUTAHINDIVIDUAL NPI #
31356319842MEDICAIDUTAH

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: 4/28/2024

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