OrganizationActive
Gavin Van Staden MD PC
NPI 1801174172 · Clinic/Center · Bountiful, UT
Gavin Van Staden MD PC is a Clinic/Center organization in Bountiful, UT (NPI 1801174172).
Provider details
- NPI number
- 1801174172
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gavin Van Staden, Dr(801) 201-2771
- License
- 5863514-1205 (UT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
3263 S Highway 89
Ste 300
Bountiful, UT 84010-8555
Phone: (801) 296-0600
Street-level locationGet directions
Mailing address
3263 S Highway 89
Bountiful, UT 84010-8555
Registry dates
- Enumerated
- 2011-08-03
- Last updated
- 2011-08-03
Frequently asked questions
- What is Gavin Van Staden MD PC's NPI number?
- Gavin Van Staden MD PC's National Provider Identifier (NPI) is 1801174172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gavin Van Staden MD PC?
- Gavin Van Staden MD PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Gavin Van Staden MD PC located?
- Gavin Van Staden MD PC's practice location on file with NPPES is 3263 S Highway 89, Bountiful, UT 84010-8555.
- What is Gavin Van Staden MD PC's phone number?
- The practice phone number listed in the NPPES registry for Gavin Van Staden MD PC is (801) 296-0600.
- Who is the authorized official for Gavin Van Staden MD PC?
- The authorized official listed on Gavin Van Staden MD PC's NPPES record is Gavin Van Staden, Dr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gavin Van Staden MD PC's NPI active?
- Yes — Gavin Van Staden MD PC's NPI (1801174172) is active in the NPPES registry as of the last update on 2011-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.