INTERMOUNTAIN CARDIOVASCULAR ASSOC.
NPI 1487841987
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Salt Lake City, UT

NPI Status: Active since September 27, 2007

Contact Information

370 9TH AVE
SUITE 208
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 408-2260
Fax: (801) 408-5236

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  • Organization
  • Thoracic Surgery (Cardiothoracic Vascula...
  • CLIA Number: 46D1086948
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-09-2025

About INTERMOUNTAIN CARDIOVASCULAR ASSOC.

This page provides the complete NPI Profile along with additional information for Intermountain Cardiovascular Assoc., a provider established in Salt Lake City, Utah operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1487841987 assigned on September 2007. The practitioner's primary taxonomy code is 208G00000X with license number 162213-1205 (UT). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Michael P. Collins M.d. (Cardiothoracic Surgeon)

NPI
1487841987
Provider Name
INTERMOUNTAIN CARDIOVASCULAR ASSOC.
Entity Type
Organization
Location Address
370 9TH AVE SUITE 208 SALT LAKE CITY, UT 84103
Location Phone
(801) 408-2260
Location Fax
(801) 408-5236
Mailing Address
370 9TH AVE SUITE 208 SALT LAKE CITY, UT 84103
Mailing Phone
(801) 408-2260
Mailing Fax
(801) 408-5236
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2007
Last Update Date
09-27-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
162213-1205
License State
UT
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MICHAEL P. COLLINS M.D.

Authorized Official Title
CARDIOTHORACIC SURGEON
Authorized Official Phone
(801) 408-2260

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D1086948
Facility Type
Physician Office
Certificate Effective Date
September 10, 2023
Certificate Expiration Date
September 09, 2025
Laboratory Director
NEDDA B. HENDLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Intermountain Cardiovascular Assoc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for INTERMOUNTAIN CARDIOVASCULAR ASSOC.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487841987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671642916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 6 + 4 + 2 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1487841987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487670881 ANGELA M KEEN MD
Individual
Plastic Surgery370 9TH AVE SUITE 200
SALT LAKE CITY, UT 84103
(801) 364-3613
1396851705 KARA L MENNING A.P.R.N.
Individual
Nurse Practitioner (Family)370 9TH AVE SUITE #106
SALT LAKE CITY, UT 84103
(801) 408-5700
1245335397DR. DAVID SNOW THOMAS M.D.
Individual
Plastic Surgery370 9TH AVE 200
SALT LAKE CITY, UT 84103
(801) 355-0731
1043345085IHC HEALTH SERVICES INC
Organization
Obstetrics & Gynecology370 9TH AVE #101
SALT LAKE CITY, UT 84103
(801) 408-5980
1003931833IHC HEALTH SERVICES
Organization
Clinic/Center (Multi-Specialty)370 9TH AVE
SALT LAKE CITY, UT 84103
(801) 442-1400
1922211432MS. SALLY JOYE DESONIA PA-C
Individual
Physician Assistant370 9TH AVE SUITE #106
SALT LAKE CITY, UT 84103
(801) 408-5700
1881876944DR ROBERT M MISKA LLC
Organization
Neurological Surgery370 9TH AVE SUITE 106
SALT LAKE CITY, UT 84103
(801) 208-5945
1437471547MAX M STEELE MD PC
Organization
Obstetrics & Gynecology370 9TH AVE STE 101
SALT LAKE CITY, UT 84103
(801) 408-2999
1316226921IHC HEALTH SERVICES INC
Organization
Neurological Surgery370 9TH AVE STE 111
SALT LAKE CITY, UT 84103
(801) 408-2233
1659701670IHC HEALTH SERVICES INC
Organization
Obstetrics & Gynecology370 9TH AVE STE 205
SALT LAKE CITY, UT 84103
(801) 355-9951
1316055502DR. MAX M STEELE M.D.
Individual
Obstetrics & Gynecology370 9TH AVE STE 101
SLC, UT 84103
(801) 408-2999
1417974346DR. ROBERT M. MISKA M.D.
Individual
Psychiatry & Neurology (Neurology)370 9TH AVE #106
SALT LAKE CITY, UT 84103
(801) 408-5700
1255356275MR. ZACHARY WILLIAM TERRY PA
Individual
Physician Assistant370 9TH AVE STE 205
SALT LAKE CITY, UT 84103
(801) 408-8700
1073538047DR. JOHN FRANCIS FOLEY M.D.
Individual
Psychiatry & Neurology (Neurology)370 9TH AVE SUITE # 106
SALT LAKE CITY, UT 84103
(801) 408-5700
1356585210MRS. CORTNEE LYNN ROMAN FNP
Individual
Nurse Practitioner (Family)370 9TH AVE SUITE 106
SALT LAKE CITY, UT 84103
(801) 262-3441

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487841987, enumerated in the NPI registry as an "organization" on September 27, 2007

The provider is located at 370 9th Ave Suite 208 Salt Lake City, Ut 84103 and the phone number is (801) 408-2260

This medical organization specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

The provider's CLIA number is 46D1086948 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 27, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.