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TOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS
NPI 1467581173
Orthopaedic Surgery in Tooele, UT

Active since March 06, 2007
2321 N 400 E STE 300, TOOELE, UT 84074(435) 833-9180(435) 833-9177 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 12, 2024, Aug 21, 2024 (2 updates tracked since 2024).

About Tooele Orthopedics & Sports Medicine Specialists NPPES

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

TOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS (NPI 1467581173) is a healthcare organization registered as an orthopaedic surgery in Tooele, Utah and active in the NPI registry since March 2007. The organization lists John A Douglas, President, as its authorized official.

NPPES Registry Identity

NPI1467581173
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameTOOELE ORTHOPEDICS & SPORTS MEDICINE SPECIALISTS
Location Address2321 N 400 E STE 300Tooele, UT 84074-3440
Mailing Address2321 N 400 E Ste 300Tooele, UT 84074-3440 · (435) 833-9180 · Fax (435) 833-9177
Phone(435) 833-9180
Fax(435) 833-9177
Organization SubpartNo
Authorized OfficialJohn A DouglasPresident · (435) 833-9180
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1467581173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in UT · 5617074-1204
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2321 N 400 E STE 300, Tooele, UT 84074
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Other Identifiers 1

MedicaidD5620UT

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

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Tooele Orthopedics & Sports Medicine Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tooele Orthopedics & Sports Medicine Specialists, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

John Douglas, D.O.
Orthopedic Surgery
NPI 1851391908
2321 N 400 E STE 300
Tooele, UT 84074
(435) 833-9180
✔ PECOS✔ Accepts MedicareSame address
David Mckenzie, D.P.M.
Podiatry
NPI 1245541937
2376 N 400 E STE 204
Tooele, UT 84074
(801) 582-1565
✔ PECOS✔ Accepts MedicareSame address

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 Tooele Orthopedics & Sports Medicine Specialists's NPI number?

The NPI number for Tooele Orthopedics & Sports Medicine Specialists is 1467581173. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Tooele Orthopedics & Sports Medicine Specialists located?

Tooele Orthopedics & Sports Medicine Specialists is located at 2321 N 400 E Ste 300, Tooele, UT 84074. The listed phone number is (435) 833-9180.

What is Tooele Orthopedics & Sports Medicine Specialists's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Tooele Orthopedics & Sports Medicine Specialists enrolled in Medicare?

Yes. Tooele Orthopedics & Sports Medicine Specialists is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tooele Orthopedics & Sports Medicine Specialists?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tooele Orthopedics & Sports Medicine Specialists, in Orthopedic Surgery and Podiatry. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tooele Orthopedics & Sports Medicine Specialists accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Tooele Orthopedics & Sports Medicine Specialists 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 Tooele Orthopedics & Sports Medicine Specialists was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.