GAVIN VAN STADEN MD PC
NPI 1801174172
Clinic/Center in Bountiful, UT

Q: What is Gavin Van Staden MD PC's NPI number?

The NPI number for Gavin Van Staden MD PC is 1801174172. It was assigned to this organization in the NPPES registry on August 3, 2011.

Q: What is Gavin Van Staden MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since August 03, 2011

3263 S HIGHWAY 89, STE 300, BOUNTIFUL, UT 84010(801) 296-0600 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gavin Van Staden Md Pc NPPES

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

GAVIN VAN STADEN MD PC (NPI 1801174172) is a healthcare organization registered as a clinic/center in Bountiful, Utah and active in the NPI registry since August 2011. The organization lists Gavin Van Staden, Dr, as its authorized official.

NPPES Registry Identity

NPI1801174172

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGAVIN VAN STADEN MD PC

Location Address3263 S HIGHWAY 89, STE 300Bountiful, UT 84010-8555

Mailing Address3263 S Highway 89, Ste 300Bountiful, UT 84010-8555

Phone(801) 296-0600

Organization SubpartNo

Authorized OfficialGavin Van StadenDr · (801) 201-2771

Enumeration DateAugust 3, 2011

✔ NPI 1801174172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in UT · 5863514-1205

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3263 S HIGHWAY 89, Bountiful, UT 84010

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

WOODMEAD MEDICAL CLINIC PLLC

Clinic/Center

3263 S HIGHWAY 89, SUITE 300
BOUNTIFUL, UT 84010

Davis County (801) 296-0600

NORTH CANYON FAMILY MEDICINE AND AESTHETICS LLC

Family Medicine

3263 S HIGHWAY 89, SUITE 300
BOUNTIFUL, UT 84010

Davis County (801) 296-0600

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 Gavin Van Staden MD PC's NPI number?

The NPI number for Gavin Van Staden MD PC is 1801174172. It was assigned to this organization in the NPPES registry on August 3, 2011.

Where is Gavin Van Staden MD PC located?

Gavin Van Staden MD PC is located at 3263 S Highway 89 Ste 300, Bountiful, UT 84010. The listed phone number is (801) 296-0600.

What is Gavin Van Staden MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Gavin Van Staden MD PC accept?

Health plans from Molina Healthcare list Gavin Van Staden MD PC 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 Gavin Van Staden MD PC was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.