ANDREA K. BACANI M.D. – NPI #1730163239
Internal Medicine

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

ANDREA BACANI is a physician located in OGDEN, UT. NPPES has assigned the NPI number 1730163239 to ANDREA BACANI on November 30, 2005. 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 207RR0500X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Rheumatology

The NPI profile was previously updated about 15 years ago on Aug 31, 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 ANDREA BACANI below.

NPI Profile for
ANDREA K. BACANI

NPI Number
1730163239
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ANDREA K. BACANI
Credentials
M.D.
Primary location
4403 HARRISON BLVD
STE 3650
OGDEN, UT 84403-3271
Phone: (801) 387-7125 Fax:
Mailing address
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone: (801) 387-7125 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for ANDREA BACANI

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
OTHERRAILROAD MEDICAREMNP00728951
MEDICAIDAZ223832
MEDICAIDMNENROLLED
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
207RR0500X
- Internal Medicine / Rheumatology (Primary)
MN 103872
207R00000X
- Internal Medicine
AZ 34524

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.