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PHYSICIAN GROUP OF UTAH INC
NPI 1477676930
Specialist in South Jordan, UT

Active since April 09, 2007
406 W SOUTH JORDAN PKWY, SUITE 500, SOUTH JORDAN, UT 84095(801) 984-3418(801) 984-3479 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Physician Group Of Utah Inc NPPES

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

PHYSICIAN GROUP OF UTAH INC (NPI 1477676930) is a healthcare organization registered as a specialist in South Jordan, Utah and active in the NPI registry since April 2007. The organization lists Ashley Koch, Cfo, as its authorized official.

NPPES Registry Identity

NPI1477676930
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePHYSICIAN GROUP OF UTAH INC
Location Address406 W SOUTH JORDAN PKWY, SUITE 500South Jordan, UT 84095-3965
Mailing AddressPo Box 281415Atlanta, GA 30384-1415 · (800) 673-1270 · Fax (314) 432-9683
Phone(801) 984-3418
Fax(801) 984-3479
Organization SubpartNo
Authorized OfficialAshley KochCfo · (617) 562-7070
Enumeration DateApril 9, 2007
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1477676930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
406 W SOUTH JORDAN PKWY, South Jordan, UT 84095
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Other Identifiers 1

Medicaid1477676930UT

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 3

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

AMBER MCHENRY FNP-C
Nurse Practitioner (Family)
406 W SOUTH JORDAN PKWY
SOUTH JORDAN, UT 84095
Salt Lake County (385) 243-4225
CHOICE CARE CLINIC OF UTAH, INC.
General Practice
406 W SOUTH JORDAN PKWY, SUITE 450
SOUTH JORDAN, UT 84095
Salt Lake County (801) 984-3418
RILEY INDIVIDUAL, FAMILY, AND MARRIAGE COUNSELING LLC
Community/Behavioral Health
406 W SOUTH JORDAN PKWY, SUITE 220B
SOUTH JORDAN, UT 84095
Salt Lake County (801) 657-0163

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 Physician Group Of Utah Inc's NPI number?

The NPI number for Physician Group Of Utah Inc is 1477676930. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is Physician Group Of Utah Inc located?

Physician Group Of Utah Inc is located at 406 W South Jordan Pkwy Suite 500, South Jordan, UT 84095. The listed phone number is (801) 984-3418.

What is Physician Group Of Utah Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Physician Group Of Utah Inc was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.