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DIRECT MD UTAH LLC
NPI 1124904057
General Practice in Midvale, UT

Active since August 14, 2025
7070 S UNION PARK AVE STE 300, MIDVALE, UT 84047(801) 421-0200 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Direct Md Utah Llc NPPES

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

DIRECT MD UTAH LLC (NPI 1124904057) is a healthcare organization registered as a general practice in Midvale, Utah and active in the NPI registry since August 2025. The organization lists Travis Winward, Manager, as its authorized official.

NPPES Registry Identity

NPI1124904057
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDIRECT MD UTAH LLC
Location Address7070 S UNION PARK AVE STE 300Midvale, UT 84047-6061
Mailing Address7070 S Union Park Ave Ste 300Midvale, UT 84047-6061
Phone(801) 421-0200
Organization SubpartNo
Authorized OfficialTravis WinwardManager · (208) 740-9076
Enumeration DateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1124904057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
7070 S UNION PARK AVE STE 300, Midvale, UT 84047
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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 4

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

DIRECT MD UTAH II LLC
General Practice
7070 S UNION PARK AVE STE 300
MIDVALE, UT 84047
Salt Lake County (801) 421-0200
SEQUOIA HOME HEALTH LLC
Home Health
7070 S UNION PARK AVE STE 300
MIDVALE, UT 84047
Salt Lake County (801) 421-0200
AMG HOSPICE OF UTAH LLC
Hospice Care, Community Based
7070 S UNION PARK AVE STE 300
MIDVALE, UT 84047
Salt Lake County (801) 421-0200
ANCHOR MEDICAL GROUP, LLC
Physical Medicine & Rehabilitation
7070 S UNION PARK AVE STE 300
MIDVALE, UT 84047
Salt Lake County (208) 230-0314

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 Direct MD Utah LLC's NPI number?

The NPI number for Direct MD Utah LLC is 1124904057. It was assigned to this organization in the NPPES registry on August 14, 2025.

Where is Direct MD Utah LLC located?

Direct MD Utah LLC is located at 7070 S Union Park Ave Ste 300, Midvale, UT 84047. The listed phone number is (801) 421-0200.

What is Direct MD Utah LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Direct MD Utah LLC was last updated on August 14, 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.