UTAH VALLEY DERMATOLOGY
NPI 1770099251
Dermatology in Provo, UT

Active since December 20, 2017
395 W COUGAR BLVD STE 604, PROVO, UT 84604(801) 371-6464 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2021, Apr 30, 2018, Dec 20, 2017 (3 updates tracked since 2017).

  • Organization
  • Dermatology

About UTAH VALLEY DERMATOLOGY

This page provides the complete NPI Profile along with additional information for Utah Valley Dermatology, a provider established in Provo, Utah operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1770099251 assigned on December 2017. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's is doing business as Utah Valley Dermatology. The authorized official of this NPI record is Dr. Mark Briesacher Md (Svp - Chief Phy Executive)

NPI
1770099251 Verify this NPI
Provider Legal Name
IHC HEALTH SERVICES INC
Other Organization Name
UTAH VALLEY DERMATOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
395 W COUGAR BLVD STE 604 PROVO, UT 84604
Location Phone
(801) 371-6464
Mailing Address
PO BOX 27128 SALT LAKE CITY, UT 84127
Mailing Phone
(801) 442-1853
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2017
Last Update Date
01-07-2021
Code Navigator

A dermatologist like Utah Valley Dermatology is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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.

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

DR. MARK BRIESACHER MD

Authorized Official Title
SVP - CHIEF PHY EXECUTIVE
Authorized Official Phone
(801) 442-3495

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dermatology
395 W COUGAR BLVD STE 604
PROVO, UT 84604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770099251, enumerated as an "organization" on December 20, 2017.

The provider is located at 395 W COUGAR BLVD STE 604 PROVO, UT 84604 and the phone number is (801) 371-6464.

Dermatology with taxonomy code 207N00000X.