MICHAEL CHAD MAHAN M.D.
NPI 1811316847
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Salt Lake City, UT

Q: What is Michael Mahan's NPI number?

The NPI number for Michael Mahan is 1811316847. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Q: What is Michael Mahan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mahan was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 07, 2014

590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 587-5400 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, May 20, 2019 (2 updates tracked since 2019).

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About Michael Chad Mahan M.d. NPPES

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

MICHAEL CHAD MAHAN M.D. (NPI 1811316847) is an individual adult reconstructive orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (11265662-1205) and active in the NPI registry since April 2014. He maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1811316847

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameMICHAEL CHAD MAHANCredential: M.D.

Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200

Mailing Address590 S Wakara WaySalt Lake City, UT 84108-1200 · (801) 587-5400

Phone(801) 587-5400

Sole ProprietorNo

Enumeration DateApril 7, 2014

Last NPPES UpdateJune 12, 20192 updates tracked since enumeration

✔ NPI 1811316847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in UT · 11265662-1205

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 11265662-1205 (UT)

590 S WAKARA WAY, Salt Lake City, UT 84108

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Secondary Practice Location 1

Location 12799 W Grand Blvd, Henry Ford Hospital Medical Education DepartmentDetroit, MI 48202-2608 · Phone (313) 916-2600

Other Providers at the Same Location NPPES 20

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

KAYLA L. GATES MD

Orthopaedic Surgery