HEBER VALLEY MEDICAL LLC (NPI# 1114487717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114487717 |
| Entity Type | Organization |
| Organization Name | HEBER VALLEY MEDICAL LLC |
| Practice Address |
380 E 1500 S Ste 201 Heber City UT 84032-3942 |
| Mailing Address |
160 W Canyon Crest Rd Alpine UT 84004-1679 |
| Practice Telephone | 4356570101 |
| Mailing Telephone | 8013684107 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |
| Authorized Official Name | CHRISTOPHER CRITTENDEN (MANAGER) |
| Authorized Official Telephone | 8013684107 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
380 E 1500 S STE 201 |
| City | HEBER CITY |
| State | UT |
| Zip Code | 84032-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527399 | Heber Valley Internal Medicine | Family Medicine | 380 E 1500 S Ste 201, Heber City, UT 84032-3942 | 2020-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733439 | Kelly C Cook | Student in an Organized Health Care Education/Training Program | 55 500 E, Heber, UT 84032 | 2020-09-03 |
| 1558807883 | Heber City Dental | Dentist | 345 E Gateway Drive, Suite 200, Heber City, UT 84032 | 2017-01-10 |
| 1326584921 | Deer Creek Childrens Dentistry | Dentist | 575 South 200 East, Heber City, UT 84032 | 2017-01-06 |
| 1194197871 | Ryan Hall | Physician Assistant | 150 N Main St #105, Heber City, UT 84032 | 2015-10-21 |
| 1841686631 | Jamar Romanceles Grayson | Family Medicine | 1485 Us-40 Ste G, Heber City, Ut 84032, Heber City, UT 84032 | 2015-04-08 |
| 1003218512 | Zebadia Pessetto | Physical Therapist | 380 E 1500 S Ste 102, Heber City, UT 84032 | 2014-09-16 |
| 1033471602 | Erik Mcclure | Anesthesiology | 899 E 200 S, Heber City, UT 84032 | 2012-06-11 |
| 1164716122 | Alicia M Power | Marriage & Family Therapist | 55 South 500 North, Heber City, UT 84032 | 2011-06-07 |
| 1073849873 | Ron T Dummar | Chiropractor | 325 West 600 S St. 403, Heber, UT 84032 | 2009-10-29 |
| 1407031255 | Wasatch County Health Department | Public Health or Welfare | 55 East 500 South, Heber City, UT 84032 | 2007-12-28 |
| Find all providers in zip 84032 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356324511 | David C. Larson | Pediatrics | 380 E 1500 S, #201, Heber City, UT 84032-3940 | 2005-11-22 |
| 1437529807 | Heber Valley Pediatric | Pediatrics | 380 E 1500 S, Suite # 201, Heber City, UT 84032-3940 | 2015-09-29 |
| 1821415159 | Kathryn M. Murray | Pediatrics | 380 E 1500 S, #201, Heber City, UT 84032-3940 | 2014-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448057 | Puzzle Pediatrics LLC | Pediatrics | 230 N Hospital Dr Ste 3, Price, UT 84501-4222 | 2020-08-21 |
| 1619430303 | Hailey N. Baisch | Pediatrics | 81 N Mario Capecchi Dr Rm 1a.001, Salt Lake City, UT 84113-1125 | 2019-04-09 |
| 1184184632 | Abbey Jo Bentley | Pediatrics | 1248 E 90 N Ste 202, American Fork, UT 84003-2959 | 2019-03-21 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1811415565 | Community Health Centers, Inc. | Pediatrics | 324 Tenth Ave Ste 249, Salt Lake City, UT 84103-2889 | 2017-09-01 |
| 1124548805 | Joshua Brent Maxwell | Pediatrics | 8822 S Redwood Rd Ste C211, West Jordan, UT 84088-9340 | 2017-06-22 |
| 1083145445 | Landon Robert Hendricks | Pediatrics | 848 N 980 W, Orem, UT 84057-7709 | 2017-03-27 |
| 1902349657 | Kelson Physician Partner's of Layton, Inc. | Pediatrics | 5286 S. 3500 W., Suite A, Roy, UT 84067 | 2016-11-29 |
| 1134672074 | Robert Jarrett | Pediatrics | 12669 S Toscana Way, Herriman, UT 84096-4866 | 2016-07-27 |
| 1033566658 | Kathryn Eleanor Curry Gradick | Pediatrics | University of Utah 50 North Medical Drive, Salt Lake City, UT 84132-0001 | 2016-05-24 |
| Find all providers with the same taxonomy | ||||
| City | HEBER CITY |
| Zip Code | 84032 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.