GARY L. CHILD DO – NPI #1063492304
Family Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

GARY CHILD is a physician located in LEHI, UT. NPPES has assigned the NPI number 1063492304 to GARY CHILD on January 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QG0300X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 14 years ago on Dec 14, 2011. 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 GARY CHILD below.

NPI Profile for
GARY L. CHILD

NPI Number
1063492304
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
GARY L. CHILD
Credentials
DO
Primary location
945 W 3200 N
LEHI, UT 84043-9771
Phone: (801) 766-6055 Fax: (888) 611-8840
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for GARY CHILD

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.

DescriptionIssuerStateIdentifier
MEDICAIDUT1063492304
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
207QG0300X
- Family Medicine / Geriatric Medicine (Primary)
UT 71112893-1204
208VP0014X
- Pain Medicine / Interventional Pain Medicine
UT 71112893-1204
207QH0002X
- Family Medicine / Hospice and Palliative Medicine
UT 71112893-1204
207QA0505X
- Family Medicine / Adult Medicine
UT 7112893-1204

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.