Ageless Womens Health Ut LLC
NPI 1053017004ActiveOrganization· Family Medicine· Marriott Slaterville, UT
Family Medicine in Marriott Slaterville, Utah, registered in NPPES in February 2023. The authorized official on file is Teah Smith, Credentialing Manager.
Overview
| NPI | 1053017004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 1, 2023 |
| Last updated in NPPES | Mar 8, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Marriott Slaterville
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