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NATHAN G MOMBERGER MD PC
NPI 1366624991
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Salt Lake City, UT

Active since December 05, 2007
5848 FASHION BLVD STE 110, SALT LAKE CITY, UT 84107(801) 314-5026(801) 314-4015 Get Directions Write a Review

NPPES record last updated: November 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan G Momberger Md Pc NPPES

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

NATHAN G MOMBERGER MD PC (NPI 1366624991) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Salt Lake City, Utah and active in the NPI registry since December 2007. The organization lists Gene R Oakes, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1366624991
Entity TypeOrganization
Primary Taxonomy207XS0114X
Legal Business NameNATHAN G MOMBERGER MD PC
Location Address5848 FASHION BLVD STE 110Salt Lake City, UT 84107-6121
Mailing Address5848 Fashion Blvd Ste 110Salt Lake City, UT 84107-6121 · (801) 314-5026 · Fax (801) 314-4015
Phone(801) 314-5026
Fax(801) 314-4015
Organization SubpartNo
Authorized OfficialGene R OakesBusiness Administrator · (801) 314-5026
Enumeration DateDecember 5, 2007
Last NPPES UpdateNovember 10, 2010
✔ NPI 1366624991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in UT · 3208681205
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
5848 FASHION BLVD STE 110, Salt Lake City, UT 84107
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Other Identifiers 3

Medicaid528299949009UT
Medicare UPINH22841UT
Medicare PIN000057216UT

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 5

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

YVONNE POTTER FUELLENBACH PA-C
Physician Assistant
5848 FASHION BLVD STE 110
MURRAY, UT 84107
Salt Lake County (801) 314-4130
DR. G LYNN RASMUSSEN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5848 FASHION BLVD STE 110
MURRAY, UT 84107
Salt Lake County (801) 314-4002
DR. NATHAN G MOMBERGER M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5848 FASHION BLVD STE 110
MURRAY, UT 84107
Salt Lake County (801) 314-5026
G LYNN RASMUSSEN MD PC
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
5848 FASHION BLVD STE 110
SALT LAKE CITY, UT 84107
Salt Lake County (801) 314-4002
ROY H TRAWICK MD PC
Orthopaedic Surgery (Sports Medicine)
5848 FASHION BLVD STE 110
MURRAY, UT 84107
Salt Lake County (801) 314-4345

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 Nathan G Momberger MD PC's NPI number?

The NPI number for Nathan G Momberger MD PC is 1366624991. It was assigned to this organization in the NPPES registry on December 5, 2007.

Where is Nathan G Momberger MD PC located?

Nathan G Momberger MD PC is located at 5848 Fashion Blvd Ste 110, Salt Lake City, UT 84107. The listed phone number is (801) 314-5026.

What is Nathan G Momberger MD PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

When was this NPI record last updated?

The NPPES record for Nathan G Momberger MD PC was last updated on November 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.