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SPINE AND SPORTS MEDICINE INC
NPI 1073677845
Pain Medicine - Interventional Pain Medicine in West Valley City, UT

Active since December 19, 2006
3336 PIONEER PKWY, SUITE 204, WEST VALLEY CITY, UT 84120(801) 964-3249 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Spine And Sports Medicine Inc NPPES

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

SPINE AND SPORTS MEDICINE INC (NPI 1073677845) is a healthcare organization registered as an interventional pain medicine in West Valley City, Utah and active in the NPI registry since December 2006. The organization lists Charles Mikell Bova, President, as its authorized official.

NPPES Registry Identity

NPI1073677845
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameSPINE AND SPORTS MEDICINE INC
Location Address3336 PIONEER PKWY, SUITE 204West Valley City, UT 84120-2000
Mailing Address3065 Oak Rim LnPark City, UT 84060-6804 · (435) 655-8468
Phone(801) 964-3249
Organization SubpartNo
Authorized OfficialCharles Mikell BovaPresident · (435) 640-6220
Enumeration DateDecember 19, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1073677845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in UT · 6053003-1204
Definition
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.
Also ListedNeuromusculoskeletal Medicine, Sports MedicineTaxonomy 204C00000X · License 6053003-1204 (UT)
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 185699 (UT)
3336 PIONEER PKWY, West Valley City, UT 84120
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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

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.

DR. CHARLES MIKELL BOVA M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
3336 PIONEER PKWY, SUITE 204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3249
MRS. KATHERINE BREWSTER DEMCAK PTA
Physical Therapy Assistant
3336 PIONEER PKWY
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3903
ROSS M JARRETT PA
Orthopaedic Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
JOHN LYNN SMITH MD
Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
DENNIS H GORDON MD
Orthopaedic Surgery
3336 PIONEER PKWY, SUITE 203
SALT LAKE CITY, UT 84120
Salt Lake County (801) 964-3925
SPINE & SPORTS MEDICINE
Pain Medicine (Pain Medicine)
3336 PIONEER PKWY, #204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 261-1946
DR. JOHN HOWARD LOOMIS III D.O.
Family Medicine
3336 PIONEER PKWY, #204
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 964-3249
RYAN DENNIS WIGHT PA-C
Physician Assistant
3336 PIONEER PKWY, SUITE 302
WEST VALLEY, UT 84120
Salt Lake County (617) 314-2172

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spine And Sports Medicine Inc's NPI number?

The NPI number for Spine And Sports Medicine Inc is 1073677845. It was assigned to this organization in the NPPES registry on December 19, 2006.

Where is Spine And Sports Medicine Inc located?

Spine And Sports Medicine Inc is located at 3336 Pioneer Pkwy Suite 204, West Valley City, UT 84120. The listed phone number is (801) 964-3249.

What is Spine And Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Spine And Sports Medicine Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.