Provider Demographics
NPI:1114964848
Name:PIPER, NATALIA ALEXANDROVNA (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:ALEXANDROVNA
Last Name:PIPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3630
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84110-3630
Mailing Address - Country:US
Mailing Address - Phone:866-910-6157
Mailing Address - Fax:
Practice Address - Street 1:10150 CENTENNIAL PKWY
Practice Address - Street 2:STE. 230
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4103
Practice Address - Country:US
Practice Address - Phone:425-284-1545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00042884207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8455073Medicaid
WA8860939Medicare PIN
WAG8860938Medicare PIN
WAI52955Medicare UPIN
WA8860261Medicare ID - Type UnspecifiedUWP
WAG8860939Medicare PIN
WAP00329574Medicare PIN
WA8860938Medicare PIN