AMY THEOS MD – NPI #1811917735
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

AMY THEOS is a dermatologist located in SALT LAKE CITY, UT. NPPES has assigned the NPI number 1811917735 to AMY THEOS on July 21, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was previously updated about 2 years ago on Jan 23, 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 AMY THEOS below.

NPI Profile for
AMY THEOS

NPI Number
1811917735
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMY THEOS
Credentials
MD
Primary location
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone: (801) 581-2955 Fax:
Mailing address
30 N 1900 E # 4A330
SALT LAKE CITY, UT 84132-0002
Phone: (801) 581-2955 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 23, 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.

Identifiers

Identifiers for AMY THEOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSSAL000096171
OTHERBLUE CROSSAL051533057
OTHERBLUE CROSSAL051528663
OTHERBLUE CROSSAL96171
OTHERHEALTHSPRING OF ALABAMAALH15937
OTHERRAILROAD MEDICAREAL070014725
OTHERVIVAALH15937
MEDICAIDAL000096173
MEDICAIDAL009935598
MEDICAIDAL009999625
MEDICAIDAL000096171
MEDICAIDAL009935631
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
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)
UT 13183449-1205

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
Y
Endpoint Location
50 N MEDICAL DR,
SALT LAKE CITY, UT 77025-1669

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.