OrganizationActive
Provas of Salt Lake, LLC
NPI 1407410244 · Vascular & Interventional Radiology Physician · Sandy, UT
Provider details
- NPI number
- 1407410244
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Hewett, Medical Director(801) 386-4240
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
909 E 9400 S
Sandy, UT 84094-5514
Phone: (801) 386-4240
Street-level locationGet directions
Mailing address
909 E 9400 S
Sandy, UT 84094-5514
Registry dates
- Enumerated
- 2019-04-26
- Last updated
- 2019-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.