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SOUTH JORDAN FAMILY MEDICINE
NPI 1982871828
Family Medicine in South Jordan, UT

Active since May 09, 2008
10623 S REDWOOD RD, SUITE 101, SOUTH JORDAN, UT 84095(801) 302-0899(801) 302-0892 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Jordan Family Medicine NPPES

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

SOUTH JORDAN FAMILY MEDICINE (NPI 1982871828) is a healthcare organization registered as a family medicine in South Jordan, Utah and active in the NPI registry since May 2008. The organization lists David J. Kane, Vp, as its authorized official.

NPPES Registry Identity

NPI1982871828
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST. MARK'S SOUTH JORDAN FAMILY PRACTICE LLC
Location Address10623 S REDWOOD RD, SUITE 101South Jordan, UT 84095-2481
Mailing Address10623 S Redwood Rd, Suite 101South Jordan, UT 84095-2481 · (801) 302-0899 · Fax (801) 302-0892
Phone(801) 302-0899
Fax(801) 302-0892
Organization SubpartNo
Authorized OfficialDavid J. KaneVp · (801) 568-5999
Enumeration DateMay 9, 2008
Last NPPES UpdateMay 20, 2010
✔ NPI 1982871828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10623 S REDWOOD RD, South Jordan, UT 84095
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Other Names 1

Doing Business AsSouth Jordan Family Medicine

Other Identifiers 3

Medicare PINDN6477
Medicaid1982871828UT
Medicare PIN000063824UT

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 4

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

SOUTH VALLEY ORTHOMED, PLLC
Orthopaedic Surgery
10623 S REDWOOD RD, STE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
MISS KATHRYN RENEE MARSHALL P.A.-C
Physician Assistant (Medical)
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 566-4242
THERESA GOURDE MD
Internal Medicine
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899
ERIN KIMBALL PA-C
Physician Assistant
10623 S REDWOOD RD, SUITE 101
SOUTH JORDAN, UT 84095
Salt Lake County (801) 302-0899

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 St. Mark's South Jordan Family Practice LLC's NPI number?

The NPI number for St. Mark's South Jordan Family Practice LLC is 1982871828. It was assigned to this organization in the NPPES registry on May 9, 2008. The provider is doing business as South Jordan Family Medicine.

Where is St. Mark's South Jordan Family Practice LLC located?

St. Mark's South Jordan Family Practice LLC is located at 10623 S Redwood Rd Suite 101, South Jordan, UT 84095. The listed phone number is (801) 302-0899.

What is St. Mark's South Jordan Family Practice LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St. Mark's South Jordan Family Practice LLC was last updated on May 20, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.