ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC
NPI 1053593921
Obstetrics & Gynecology - Gynecologic Oncology in Salt Lake City, UT

Q: What is St. Mark's Gynecology Oncology Care LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Active since December 03, 2007

1140 E 3900 S STE 400, SALT LAKE CITY, UT 84124(801) 268-6811(801) 743-4736 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2023, Jan 2, 2023, Oct 28, 2020 (3 updates tracked since 2020).

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About St. Mark's Gynecology Oncology Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC (NPI 1053593921) is a healthcare organization registered as a gynecologic oncology in Salt Lake City, Utah and active in the NPI registry since December 2007. The organization lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1053593921

Entity TypeOrganization

Primary Taxonomy207VX0201X

Legal Business NameST. MARK'S GYNECOLOGY ONCOLOGY CARE LLC

Location Address1140 E 3900 S STE 400Salt Lake City, UT 84124-1269

Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426

Phone(801) 268-6811

Fax(801) 743-4736

Organization SubpartNo

Authorized OfficialLouis JosephVp · (615) 373-7630

Enumeration DateDecember 3, 2007

Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1053593921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207VX0201X

Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

1140 E 3900 S STE 400, Salt Lake City, UT 84124

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Other Identifiers 3

Medicaid1053593921UT

Medicaid1053593921WY

Medicaid807953700ID

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN T HORVATH MD

Obstetrics & Gynecology