Tooele Orthopedics & Sports Medicine Specialists
NPI 1467581173ActiveOrganization· Orthopaedic Surgery· Tooele, UT
Orthopaedic Surgery in Tooele, Utah, registered in NPPES in March 2007. The authorized official on file is John A. Douglas, M.D., President. Enrolled in Medicare as dme supplier - physician - osteopathic manipulative medicine and part b supplier - clinic/group practice.
Overview
| NPI | 1467581173 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Sep 12, 2024 |
| Certified by provider | Aug 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 5617074-1204 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Osteopathic Manipulative Medicine (UT); Part B Supplier - Clinic/Group Practice (UT) |
|---|
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