Provider Demographics
NPI:1144339292
Name:VINEY, JAMES P (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:VINEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 MARIO CAPECCHI DR
Mailing Address - Street 2:DEPT OF ANESTHESIA
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84113-1103
Mailing Address - Country:US
Mailing Address - Phone:801-662-3578
Mailing Address - Fax:801-662-3588
Practice Address - Street 1:100 MARIO CAPECCHI DR
Practice Address - Street 2:DEPT OF ANESTHESIA
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84113-1103
Practice Address - Country:US
Practice Address - Phone:801-662-3578
Practice Address - Fax:801-662-3588
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT169279-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT2000040OtherUNITED HEALTHCARE
UT24133OtherPEHP
UT2812OtherHEALTHY U
UT416956OtherDESERET MUTUAL
UTPRA01575OtherMOLINA
UT002086527OtherFIRST HEALTH
WY105130000Medicaid
UT870280408VI1OtherEDUCATORS MUTUAL
UT107006365101OtherIHC
UTQM0000049545OtherALTIUS
ID002967700Medicaid
MT401765Medicaid
UT005512404Medicare ID - Type Unspecified
ID002967700Medicaid