MOUNTAIN VISTA MEDICINE – NPI #1609123512
Pediatrics

A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

Health Care Provider Taxonomy Code for Pediatrics

MOUNTAIN VISTA MEDICINE is a provider located in SOUTH JORDAN, UT. NPPES has assigned the NPI number 1609123512 to MOUNTAIN VISTA MEDICINE on August 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0205X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Endocrinology

The NPI profile was previously updated about 8 years ago on Jul 02, 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 MOUNTAIN VISTA MEDICINE below.

NPI Profile for
MOUNTAIN VISTA MEDICINE

NPI Number
1609123512
Enumeration Date

(about 14 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
MOUNTAIN VISTA MEDICINE
Primary location
1258 W SOUTH JORDAN PKWY
103
SOUTH JORDAN, UT 84095
Phone: (801) 838-9090 Fax: (801) 838-9092
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MIKE SWINYARD
OWNER
Phone: (801) 838-9090
Updated
Identifiers

Identifiers for MOUNTAIN VISTA MEDICINE

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
OTHERINDIVDUAL NPI1245222819
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
2080P0205X
- Pediatrics / Pediatric Endocrinology (Primary)		 UT 292580-1205

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.