SPINE AND SPORTS MEDICINE INC
NPI 1073677845
Pain Medicine - Interventional Pain Medicine in West Valley City, UT
NPI Status: Active since December 19, 2006
Contact Information
3336 PIONEER PKWY
SUITE 204
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 964-3249
- Organization
- Pain Medicine
- Interventional Pain Medicine
About SPINE AND SPORTS MEDICINE INC
This page provides the complete NPI Profile along with additional information for Spine And Sports Medicine Inc, a provider established in West Valley City, Utah operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1073677845 assigned on December 2006. The practitioner's primary taxonomy code is 208VP0014X with license number 6053003-1204 (UT). The provider is registered as an organization and their NPI record was last updated one year ago. Spine And Sports Medicine Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Charles Mikell Bova M.d. (President)
- NPI
- 1073677845
- Provider Name
- SPINE AND SPORTS MEDICINE INC
- Entity Type
- Organization
- Location Address
- 3336 PIONEER PKWY SUITE 204 WEST VALLEY CITY, UT 84120
- Location Phone
- (801) 964-3249
- Mailing Address
- 3065 OAK RIM LN PARK CITY, UT 84060
- Mailing Phone
- (435) 655-8468
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 6053003-1204
- License State
- UT
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | 6053003-1204 (UT) |
| 2 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 185699 (UT) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073677845, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
WEST VALLEY CITY, UT 84120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073677845, enumerated as an "organization" on December 19, 2006.
The provider is located at 3336 PIONEER PKWY SUITE 204 WEST VALLEY CITY, UT 84120 and the phone number is (801) 964-3249.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
