RUSSELL LAMAR SORENSEN MD
NPI 1942202106
Orthopaedic Surgery in Sandy, UT

NPI Status: Active since June 01, 2005

Contact Information

9844 S 1300 E
STE 250
SANDY, UT
ZIP 84094
Phone: (801) 571-1552
Fax: (801) 571-1562

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  • Individual
  • Male
  • Orthopaedic Surgery
  • CLIA Number: 46D0992375
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-14-2025

About RUSSELL SORENSEN

This page provides the complete NPI Profile along with additional information for Russell Sorensen, a provider established in Sandy, Utah with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1942202106 assigned on June 2005. The practitioner's primary taxonomy code is 207X00000X with license number 1638911205 (UT). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1942202106
Provider Name
RUSSELL LAMAR SORENSEN MD
Gender
Male
Entity Type
Individual
Location Address
9844 S 1300 E STE 250 SANDY, UT 84094
Location Phone
(801) 571-1552
Location Fax
(801) 571-1562
Mailing Address
9844 S 1300 E STE 250 SANDY, UT 84094
Mailing Phone
(801) 571-1552
Mailing Fax
(801) 571-1562
Is Sole Proprietor?
Yes
Enumeration Date
06-01-2005
Last Update Date
07-08-2007
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
1638911205
License State
UT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1638911205OTHER (01)UTSTATE LICENSE
D07469MEDICARE UPIN (02)UT 

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
46D0992375
Facility Type
Physician Office
Certificate Effective Date
October 15, 2023
Certificate Expiration Date
October 14, 2025
Laboratory Director
RUSSELL A. SMITH MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Russell Sorensen in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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.
1942202106
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
298240410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 4 + 0 + 4 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1942202106 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578545919 GORDON R KIMBALL M.D.
Individual
Orthopaedic Surgery9844 S 1300 E #275
SANDY, UT 84094
(801) 571-7061
1811979255 DONALD A SCHMIDT M.D.
Individual
Orthopaedic Surgery9844 S 1300 E STE 275
SANDY, UT 84094
(801) 571-7061
1881645745DR. RICHARD C HUGHES DMD
Individual
Dentist9844 S 1300 E STE 340
SANDY, UT 84094
(801) 572-4261
1659380541 SEEMA SANDHU MD
Individual
Psychiatry & Neurology (Neurology)9844 S 1300 E STE 125
SANDY, UT 84094
(801) 501-8233
1750391322 RICHARD A WHITTINGTON MD
Individual
Internal Medicine9844 S 1300 E #200
SANDY, UT 84094
(801) 572-1472
1386654994 SHAWN M BROOKS MD
Individual
Internal Medicine9844 S 1300 E #200
SANDY, UT 84094
(801) 572-1472
1225142334 THOMAS M DIETZ MD
Individual
Internal Medicine9844 S 1300 E #200
SANDY, UT 84094
(801) 572-1472
1144367772DR. DAVID JOEL BREDING M.D.
Individual
Specialist9844 S 1300 E #335
SANDY, UT 84094
(801) 571-8517
1528105137DR. JOHN RIZZOTTE MERENDINO MD
Individual
Specialist9844 S 1300 E #175
SANDY, UT 84094
(801) 576-1290
1083809214ANTHONY S GORDON, MDPC
Organization
Orthopaedic Surgery9844 S 1300 E SUITE #100
SANDY, UT 84094
(801) 571-9433
1538342290SOUTH VALLEY NEUROLOGICAL ASSOCIATES P.C
Organization
Neuromusculoskeletal Medicine & OMM9844 S 1300 E STE 125
SANDY, UT 84094
(801) 501-8233
1750544235DR. DAWN NICOLE TYLER DPT
Individual
Physical Therapist9844 S 1300 E SUITE #150
SANDY, UT 84094
(801) 571-0099
1699909457IHC HEALTH SERVICES INC
Organization
Clinic/Center (Multi-Specialty)9844 S 1300 E STE 350
SANDY, UT 84094
(801) 307-0893
1316270655GORDON R. KIMBALL M.D.,P.C.
Organization
Orthopaedic Surgery9844 S 1300 E SUITE 275
SANDY, UT 84094
(801) 571-7061
1740510189DONALD A. SCHMIDT M.D,P.C.
Organization
Orthopaedic Surgery9844 S 1300 E #275
SANDY, UT 84094
(801) 571-7061
1134409063ALTA VIEW HEALTH & WELLNESS
Organization
Chiropractor9844 S 1300 E
SANDY, UT 84094
(801) 523-3898
1124377874NORTHPOINTE REHAB
Organization
Clinic/Center (Physical Therapy)9844 S 1300 E SUITE 275
SANDY, UT 84094
(801) 871-5228
1811983380 ANTHONY SCOTT GORDON MD
Individual
Orthopaedic Surgery9844 S 1300 E STE 100
SANDY, UT 84094
(801) 571-9433
1386051530JAMES R. MEADOWS, MD, PLLC
Organization
Orthopaedic Surgery9844 S 1300 E STE 100
SANDY, UT 84094
(801) 571-9433
1093777047 BRYAN A CLARK PA-C
Individual
Physician Assistant (Surgical)9844 S 1300 E STE 275
SANDY, UT 84094
(801) 571-7061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942202106, enumerated in the NPI registry as an "individual" on June 01, 2005

The provider is located at 9844 S 1300 E Ste 250 Sandy, Ut 84094 and the phone number is (801) 571-1552

The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 46D0992375 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on June 01, 2005. 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.