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

Active since February 08, 2016
5063 S COTTONWOOD ST STE 400, MURRAY, UT 84107(801) 507-1950(801) 507-1951 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2018, Aug 9, 2016, Feb 8, 2016 (3 updates tracked since 2016).

About Cottonwood Ob-gyn NPPES

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

COTTONWOOD OB-GYN (NPI 1417315243) is a healthcare organization registered as an obstetrics & gynecology in Murray, Utah and active in the NPI registry since February 2016. The organization lists Steven M Thackeray, Partner, as its authorized official.

NPPES Registry Identity

NPI1417315243
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameCOTTONWOOD OB-GYN
Location Address5063 S COTTONWOOD ST STE 400Murray, UT 84107
Mailing Address5063 S Cottonwood St Ste 400Murray, UT 84107-6773 · (801) 507-1950 · Fax (801) 507-1951
Fax(801) 507-1951
Organization SubpartNo
Authorized OfficialSteven M ThackerayPartner · (801) 507-1950
Enumeration DateFebruary 8, 2016
Last NPPES UpdateJuly 31, 20183 updates tracked since enumeration
✔ NPI 1417315243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
5063 S COTTONWOOD ST STE 400, Murray, UT 84107

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cottonwood Ob-gyn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Cottonwood Ob-Gyn, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Obstetrics/Gynecology
NPI 1407813959
5063 S COTTONWOOD ST #400 STEVEN M.THACKERAY, M.D.
Murray, UT 84107
(801) 507-1950
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1538117965
5063 S COTTONWOOD ST STE 400
Murray, UT 84107
(801) 507-1950
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1376833046
5063 S COTTONWOOD ST STE 400
Murray, UT 84107
(801) 507-1950
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1699119487
5063 S COTTONWOOD ST STE 400
Murray, UT 84107
(801) 507-1950
✔ PECOS✔ Accepts Medicare0.3 mi
Obstetrics/Gynecology
NPI 1972644821
3970 SOUTH 700 EAST SUITE 14
Salt Lake City, UT 84107
(801) 261-3605
✔ PECOS✔ Accepts Medicare2.2 mi
Obstetrics/Gynecology
NPI 1689849523
3970 SOUTH 700 EAST SUITE 14
Salt Lake City, UT 84107
(801) 261-3605
✔ PECOS✔ Accepts Medicare2.2 mi
Obstetrics/Gynecology
NPI 1376656264
3845 W 4700 S
Taylorsville, UT 84118
(801) 840-2100
✔ PECOS✔ Accepts Medicare5.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cottonwood Ob-Gyn's NPI number?

The NPI number for Cottonwood Ob-Gyn is 1417315243. It was assigned to this organization in the NPPES registry on February 8, 2016.

Where is Cottonwood Ob-Gyn located?

Cottonwood Ob-Gyn is located at 5063 S Cottonwood St Ste 400, Murray, UT 84107. The listed phone number is (801) 507-1950.

What is Cottonwood Ob-Gyn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Cottonwood Ob-Gyn enrolled in Medicare?

Yes. Cottonwood Ob-Gyn is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cottonwood Ob-Gyn?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Obstetrics/Gynecology, reassign their Medicare billing to Cottonwood Ob-Gyn. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cottonwood Ob-Gyn accept?

Health plans from Molina Healthcare list Cottonwood Ob-Gyn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cottonwood Ob-Gyn was last updated on July 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.