COTTONWOOD OB-GYN
NPI 1417315243
Obstetrics & Gynecology in Murray, UT

NPI Status: Active since February 08, 2016

Contact Information

5063 S COTTONWOOD ST STE 400
MURRAY, UT
ZIP 84107
Phone: (801) 507-1950
Fax: (801) 507-1951

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  • Organization
  • Obstetrics & Gynecology
  • Accepts Insurance
  • CLIA Number: 46D0523876
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About COTTONWOOD OB-GYN

This page provides the complete NPI Profile along with additional information for Cottonwood Ob-gyn, a women's health care provider established in Murray, Utah operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1417315243 assigned on February 2016. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Steven M Thackeray M.d. (Partner)

NPI
1417315243
Provider Name
COTTONWOOD OB-GYN
Entity Type
Organization
Location Address
5063 S COTTONWOOD ST STE 400 MURRAY, UT 84107
Location Phone
(801) 507-1950
Location Fax
(801) 507-1951
Mailing Address
5063 S COTTONWOOD ST STE 400 MURRAY, UT 84107
Mailing Phone
(801) 507-1950
Mailing Fax
(801) 507-1951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2016
Last Update Date
07-31-2018
Code Navigator

Women's health care providers like Cottonwood Ob-gyn treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

STEVEN M THACKERAY M.D.

Authorized Official Title
PARTNER
Authorized Official Phone
(801) 507-1950

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D0523876
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JEFFREY H. BARTON MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Cottonwood Ob-gyn in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1417315243, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 3 → 6 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 6 + 1 + 1 + 0 + 2 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1417315243.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Obstetrics & Gynecology
5063 S COTTONWOOD ST STE 400
MURRAY, UT 84107
Obstetrics & Gynecology
5063 S COTTONWOOD ST STE 400
MURRAY, UT 84107
Obstetrics & Gynecology
5063 S COTTONWOOD ST STE 400
MURRAY, UT 84107
Obstetrics & Gynecology (Gynecologic Oncology)
5063 S COTTONWOOD ST STE 400
MURRAY, UT 84107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417315243, enumerated as an "organization" on February 08, 2016.

The provider is located at 5063 S COTTONWOOD ST STE 400 MURRAY, UT 84107 and the phone number is (801) 507-1950.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: Molina Healthcare. Please consult your insurance carrier or call the provider to verify.