1144339292 NPI number — DR. JAMES P VINEY MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144339292 NPI number — DR. JAMES P VINEY MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

VINEY

Provider First Name:

JAMES

Provider Middle Name:

P

Provider Name Prefix Text:

DR.

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1144339292

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

10/06/2011

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

100 MARIO CAPECCHI DR

Provider Second Line Business Mailing Address:

DEPT OF ANESTHESIA

Provider Business Mailing Address City Name:

SALT LAKE CITY

Provider Business Mailing Address State Name:

UT

Provider Business Mailing Address Postal Code:

84113-1103

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

801-662-3578

Provider Business Mailing Address Fax Number:

801-662-3588

Provider First Line Business Practice Location Address:

100 MARIO CAPECCHI DR

Provider Second Line Business Practice Location Address:

DEPT OF ANESTHESIA

Provider Business Practice Location Address City Name:

SALT LAKE CITY

Provider Business Practice Location Address State Name:

UT

Provider Business Practice Location Address Postal Code:

84113-1103

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

801-662-3578

Provider Business Practice Location Address Fax Number:

801-662-3588

Provider Enumeration Date:

08/30/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207L00000X , with the licence number:  169279-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 2000040 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 24133 . This is a "PEHP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 2812 . This is a "HEALTHY U" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 416956 . This is a "DESERET MUTUAL" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: PRA01575 . This is a "MOLINA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 002086527 . This is a "FIRST HEALTH" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 105130000 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
• Identifier: 870280408VI1 . This is a "EDUCATORS MUTUAL" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 107006365101 . This is a "IHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: QM0000049545 . This is a "ALTIUS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
• Identifier: 002967700 , issued by the state of ( ID ) . This identifiers is of the category "MEDICAID".
• Identifier: 401765 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".