OrganizationActive
Integrated Wellcare, LLC.
NPI 1982928545 · General Practice Physician · West Jordan, UT
Provider details
- NPI number
- 1982928545
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jamison Sivulich, Managing Member(801) 358-7567
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
5168 Crus Corvi Rd
West Jordan, UT 84081-5336
Phone: (801) 358-7567
Street-level locationGet directions
Mailing address
5168 Crus Corvi Rd
West Jordan, UT 84081-5336
Registry dates
- Enumerated
- 2010-03-25
- Last updated
- 2010-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.