Jason R Fife, DO
Family Medicine in Layton, UT. Individual provider (NPI-1).
NPI number1790761740
StatusActive
Last updated in NPPESJul 23, 2012
Details
- NPI
- 1790761740
- Entity type
- Individual (NPI-1)
- Name
- Jason R Fife
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Jul 23, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3209061204 | UT | Yes |
Practice location
2121 N 1700 WLayton, UT 84041-8803
Phone 801-773-4840 · Fax 801-525-8151
Mailing address
Po Box 337Layton, UT 84041-0337
Phone 801-773-4840 · Fax 801-525-8151
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 73 Family Medicine Physician providers in Layton · All 3,481 providers in Layton
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