CENTRAL UTAH CLINIC, P.C. (NPI# 1437205028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437205028 |
| Entity Type | Organization |
| Organization Name | CENTRAL UTAH CLINIC, P.C. |
| Other Organization Name | REVERE HEALTH |
| Practice Address |
1175 E 50 S Suite 101 American Fork UT 84003-0000 |
| Mailing Address |
1055 N 500 W Attn: Credentialing Provo UT 84604-3305 |
| Practice Telephone | 8014925994 |
| Practice Fax Number | 8014180899 |
| Mailing Telephone | 8013548225 |
| Mailing Fax Number | 8014180941 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-03-07 |
| Authorized Official Name | JED HARSTON (DIRECTOR OF MANAGED CARE) |
| Authorized Official Telephone | 8018125012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
2007ASF78284 | UT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Revere Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930475 | Central Utah Clinic, P.C. | Clinic/Center | 330 Falcon Ridge Pkwy Ste 400a, Mesquite, NV 89027-8881 | 2019-03-11 |
| 1851631139 | Central Utah Clinic, P.C. | Internal Medicine | 2019 E Riverside Dr, Suite A200, St George, UT 84790-8134 | 2013-02-22 |
| 1508896838 | Central Utah Clinic, P.C. | Family Medicine | 97 S Professional Way, Suite 2, Payson, UT 84651-1614 | 2006-07-03 |
| 1265907620 | Central Utah Clinic, P.C. | Eyewear Supplier (Equipment, not the service) | 5872 S 900 E Ste 100, Murray, UT 84121-1677 | 2018-10-11 |
| 1316330749 | Central Utah Clinic, P.C. | Non-Pharmacy Dispensing Site | 1055 N 500 W Ste 202, Provo, UT 84604-3305 | 2015-03-10 |
| 1689003550 | Central Utah Clinic, P.C. | Clinic/Center | 555 W Sr 164, Salem, UT 84653 | 2013-11-01 |
| 1780017954 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 700 W 800 N Ste 100, Orem, UT 84057-6302 | 2013-08-12 |
| 1760752943 | Central Utah Clinic, P.C. | Orthopaedic Surgery | 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 | 2012-01-05 |
| 1841433927 | Central Utah Clinic, P.C. | Urology | 15 S 1000 E, Suite 225, Payson, UT 84651-5590 | 2009-04-20 |
| 1023251204 | Central Utah Clinic, P.C. | Clinic/Center | 3000 N Triumph Blvd Ste 100, Lehi, UT 84043-4999 | 2009-04-17 |
| Street Address |
1175 E 50 S SUITE 101 |
| City | AMERICAN FORK |
| State | UT |
| Zip Code | 84003-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475341 | Yun Ling | Internal Medicine | 1175 E 50 S, Suite 241, American Fork, UT 84003-0000 | 2006-04-08 |
| 1417490079 | Shellie Marie Norton | Audiologist | 1175 E 50 S, 211, American Fork, UT 84003-2845 | 2016-11-29 |
| 1780027722 | Tomeika Ulett-garcia | Nurse Practitioner | 1175 E 50 S, Ste 221, American Fork, UT 84003-2845 | 2013-04-09 |
| 1174808596 | Scott K Summers | Nurse Practitioner | 1175 E 50 S, Suite 211, American Fork, UT 84003-2845 | 2011-10-17 |
| 1306025499 | American Fork Dialysis LLC | Clinic/Center | 1175 E 50 S, Ste 111, American Fork, UT 84003-2845 | 2007-10-25 |
| 1437348943 | Casey Ray Owens | Internal Medicine | 1175 E 50 S, Ste 221, American Fork, UT 84003-2845 | 2007-10-21 |
| 1144439068 | Central Utah Clinic, P.C. | Clinic/Center | 1175 E 50 S, American Fork, UT 84003-0000 | 2007-05-21 |
| 1659595742 | Adrienne Shaver | Nurse Practitioner | 1175 E 50 S, Suite 221, American Fork, UT 84003-2845 | 2007-04-12 |
| 1235264169 | Toby Paulson | Internal Medicine | 1175 E 50 S, Ste 251, American Fork, UT 84003-2845 | 2007-02-22 |
| 1174633408 | Shauna Whatcott-sclafani | Physician Assistant | 1175 E 50 S, Ste 251, American Fork, UT 84003-2845 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917496 | Centre Health Group | Clinic/Center | 70 West Main, Suite B, American Fork, UT 84003 | 2020-06-19 |
| 1457902553 | Lactation Link | Health Educator | 5524 Sicily Lane, Highland, UT 84003 | 2019-09-20 |
| 1750805511 | Eric Austin Haws | Physical Therapist | 1184 East 80 North, American Fork, UT 84003 | 2017-08-02 |
| 1578914784 | Ofa Moeai | Social Worker | 315 N 900 E, American Fork, UT 84003 | 2016-06-29 |
| 1639585839 | Carmel Ferreira | Acupuncturist | 42 N 200 E Ste 1, American Fork, UT 84003 | 2014-07-08 |
| 1619305869 | Luke Daren Sterger | Counselor | 995 West 1100 North, American Fork, UT 84003 | 2013-10-25 |
| 1356778252 | Reese & Weaver Dds LLC | Optometrist | 11038 N. Highland Blvd, Suite 200, Highland, UT 84003 | 2013-10-09 |
| 1518308444 | A Balanced Life Med Products | Durable Medical Equipment & Medical Supplies | 291 N 300 E Ste. C, American Fork, UT 84003 | 2013-07-08 |
| 1376981274 | Jesse Lucinda James | Family Medicine | 98 B. 1100 E. Suite #102, American Fork, UT 84003 | 2013-06-13 |
| 1922442904 | Premier Family Medical | Family Medicine | 226 N 100 E, Ste A, American Fork, UT 84003 | 2013-04-22 |
| Find all providers in zip 84003 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037703 | Cache Valley Surgery Center, LLC | Clinic/Center | 630 E 1400 N Ste 120, Logan, UT 84341-2691 | 2020-06-09 |
| 1285255133 | Creek Capital Surgical Arts | Clinic/Center | 1275 E Fort Union Blvd Ste 100, Midvale, UT 84047-1890 | 2020-05-01 |
| 1639704208 | Salt Lake Surgery Center, LLC | Clinic/Center | 1046 E 100 S Ste D, Salt Lake City, UT 84102-1520 | 2020-03-04 |
| 1891347597 | Utah Intermountain Surgical Center LLC | Clinic/Center | 8822 S Redwood Rd Ste 113, West Jordan, UT 84088-9341 | 2019-07-12 |
| 1326512070 | Richfield Surgery Center, LLC | Clinic/Center | 860 N Main St Ste A, Richfield, UT 84701-1840 | 2019-01-16 |
| 1104301613 | Logan Surgical Suites LLC | Clinic/Center | 55 East Golf Course Road, Logan, UT 84321-0001 | 2018-10-01 |
| 1225510159 | Southwest Surgery Center LLC | Clinic/Center | 161 W 200 N Ste 105, Saint George, UT 84770-7386 | 2018-09-06 |
| 1548754427 | Union Park Surgical Center LLC | Clinic/Center | 7001 S 900 E Ste 100, Midvale, UT 84047-1700 | 2018-06-14 |
| 1982101515 | Surgical Specialists LLC | Clinic/Center | 10 W Scenic Pointe Dr Ste 102, Draper, UT 84020-6124 | 2018-04-10 |
| 1760939367 | Utah Valley Surgery Center, LLC | Clinic/Center | 2168 West Grove Parkway, Suite 101, Pleasant Grove, UT 84062-6711 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
| City | AMERICAN FORK |
| Zip Code | 84003 |
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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.