NOORDA-COM HEALTH CLINIC – NPI #1871203414
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

NOORDA-COM HEALTH CLINIC is a provider located in PROVO, UT. NPPES has assigned the NPI number 1871203414 to NOORDA-COM HEALTH CLINIC on December 05, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOORDA-COM HEALTH CLINIC” is a dba name, the actual legal business name for this organization is NOORDA COLLEGE OF OSTEOPATHIC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

The NPI profile was last updated on Nov 26, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOORDA-COM HEALTH CLINIC below.

NPI Profile for
NOORDA COLLEGE OF OSTEOPATHIC

NPI Number
1871203414
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NOORDA COLLEGE OF OSTEOPATHIC
Doing Business As (dba): NOORDA-COM HEALTH CLINIC
Primary location
2162 SOUTH 180 EAST, STE 1000
PROVO, UT 84606
Phone: (385) 380-3425 Fax:
Mailing address
2162 S 180 E STE 1000
PROVO, UT 84606-7370
Phone: (385) 380-3425 Fax: (855) 873-2517
Organization Subpart
Yes - NOORDA-COM HEALTH CLINIC is subpart of another organization.
Authorized Official
JENNIFER SHUMWAY
DIRECTOR OF CLINICAL OPERATIONS
Phone: (801) 380-0015
Updated
Certification Date
Nov 26, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
207Q00000X
- Family Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.