Provider Demographics
NPI:1447260997
Name:RIGBY, ERIC WOODBURY (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:WOODBURY
Last Name:RIGBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 NORTH CENTER ST
Mailing Address - Street 2:#800
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:5121 S COTTONWOOD STREET
Practice Address - Street 2:INTERMOUNTAIN MEDICAL CENTER
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84157
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT377588-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT37758812000001OtherREGENCE BCBS
UT68877OtherPEHP
UT754152OtherDESERET MUTUAL
ID806524000Medicaid
AZ820804Medicaid
UT870545614RIGOtherEDUCATORS MUTUAL
UT97007OtherHEALTHY U
UTPRA07461OtherMOLINA
WY118205600Medicaid
NV100501226Medicaid
UT107011515101OtherIHC
UT1502954OtherUMWA
UTQM0000075886OtherALTIUS
ID806524000Medicaid
WY118205600Medicaid
UT005532786Medicare ID - Type Unspecified