Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1225056013 Deactivated / Inactive NPI Female Practitioner

Dr. Mitzi D Conover , MD

Pediatrics • Sandy, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mitzi Conover has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2006
NPI Deactivation Date March 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mitzi Conover, MD was a registered Pediatrics practicing in Sandy, UT. Throughout an active medical career spanning 17 years, Dr. Conover provided care at the practice location at 9720 S 1300 E until profile deactivation on 2023-03-29.

Practice Location & Contact Primary Location

Practice Address

9720 S 1300 E
#100

Sandy, UT 840943712

Telephone 8015718550
Associated Practice Facility / Clinic
🏢 Ihc Health Services Inc Facility NPI 1134254220

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Sandy, UT (688 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License UT 47920971205

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003838434

Doctor of Medicine (M.D.)

NPI 1083636435

Doctor of Medicine (M.D.)

Karen Jackson , PNP

Nurse Practitioner

NPI 1174545503

Pediatric Nurse Practitioner

NPI 1528080959

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 29, 2023

Record deactivated on March 29, 2023

NPI Profile Active October 01, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2007

Registered at 9720 S 1300 E, #100, SANDY, UT 840943712 (Tel: 8015718550)

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Updated Business Mailing Address October 01, 2007

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128 (Tel: 8015718550)

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Provider Name / Credentials Updated October 01, 2007

Recorded as MITZI CONOVER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2007

Pediatrics (License #47920971205 in UT)

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Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225056013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: October 01, 2007
Deactivation Date: March 29, 2023

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

Phone: 8015718550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.