REVERE HEALTH – NPI #1780017954
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Health Care Provider Taxonomy Code for Orthopaedic Surgery

REVERE HEALTH is an orthopaedic surgeon located in OREM, UT. NPPES has assigned the NPI number 1780017954 to REVERE HEALTH on August 12, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “REVERE HEALTH” is a dba name, the actual legal business name for this organization is CENTRAL UTAH CLINIC, P.C.. The primary taxonomy selected by this provider is 207X00000X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery.

The NPI profile was previously updated about 8 years ago on Mar 07, 2018. 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 REVERE HEALTH below.

NPI Profile for
CENTRAL UTAH CLINIC, P.C.

NPI Number
1780017954
Enumeration Date

(about 13 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
CENTRAL UTAH CLINIC, P.C.
Doing Business As (dba): REVERE HEALTH
Primary location
700 W 800 N STE 100
OREM, UT 84057-6302
Phone: (801) 373-7350 Fax: (801) 224-5337
Mailing address
1055 N 500 W
ATTN: CREDENTIALING
PROVO, UT 84604-3305
Phone: (801) 354-8225 Fax: (801) 418-0941
Organization Subpart
No
Authorized Official
JED HARSTON
DIRECTOR OF MANAGED CARE
Phone: (801) 812-5012
Updated
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
207X00000X
- Orthopaedic Surgery (Primary)

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.