PINE TOP MEDICAL P.C. (NPI# 1679956445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679956445 |
| Entity Type | Organization |
| Organization Name | PINE TOP MEDICAL P.C. |
| Practice Address |
284 N Hospital Dr Suite 2 Price UT 84501-4233 |
| Practice Telephone | 4356375690 |
| Practice Fax Number | 4356379809 |
| Mailing Telephone | 4356375690 |
| Mailing Fax Number | 4356379809 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-08-10 |
| Authorized Official Name | DR. EUGENE DOUGLAS LARSEN JR. (PRESIDENT) |
| Authorized Official Telephone | 8013095156 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 93369771204 | UT | Ambulatory Health Care Facilities |
| Street Address |
284 N HOSPITAL DR SUITE 2 |
| City | PRICE |
| State | UT |
| Zip Code | 84501-4233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893993 | David Alan Nichols | Internal Medicine | 284 N Hospital Dr, Ste 2, Price, UT 84501-4235 | 2005-10-04 |
| 1285142018 | Kristiann Henricksen | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2018-01-15 |
| 1285172841 | Andrew Jackson | General Acute Care Hospital | 284 N Hospital Dr, Price, UT 84501-4233 | 2017-02-03 |
| 1215386768 | Johnny Downard | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2016-06-06 |
| 1174910434 | Tiffni Elizabeth Monahan | Physical Therapy Assistant | 284 N Hospital Dr, Price, UT 84501-4233 | 2015-04-23 |
| 1417394511 | Robert Michael Behunin | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2013-05-29 |
| 1023276375 | Paul Kirsten Smith | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2008-05-22 |
| 1275714768 | William Scott Crider | Occupational Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-11-26 |
| 1194913491 | John Bradford Lewis | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-10-11 |
| 1225226624 | Robert Brian Powell | Physical Therapist | 284 N Hospital Dr, Price, UT 84501-4233 | 2007-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300079 | Kayleigh Maxfield | Case Manager/Care Coordinator | 77 S. 600 E., Price, UT 84501 | 2020-03-06 |
| 1174160071 | Kelli Fowles | Pharmacist | Smith's Food & Drug, 1075 E Main St, Price, UT 84501 | 2019-12-10 |
| 1225683733 | Zachary Kreek | Registered Nurse | 77 South 600 East Suite C, Price, UT 84501 | 2019-08-02 |
| 1578036547 | Boni Lee Taylor | Counselor | 445 North Carbonville Road, Price, UT 84501 | 2019-01-02 |
| 1023591310 | Center for Independent Living, Inc | Durable Medical Equipment & Medical Supplies | 2490 Mariner Square Loop, Suite 210, Alameda, CA 84501 | 2018-09-12 |
| 1023500360 | Dkmcomber Clinical Services | Nurse Practitioner | 590 E 100 N Ste 7, Price, UT 84501 | 2018-06-02 |
| 1326569245 | Castleview Physician Practice, LLC | Internal Medicine | 317 East 100 North, Price, UT 84501 | 2017-06-30 |
| 1255783874 | Cacilia Jensen | Case Manager/Care Coordinator | 105 W. 100 N., Price, UT 84501 | 2016-07-07 |
| 1801133905 | Joseph Micah Woodard | Counselor | 575 E. 100 S., Price, UT 84501 | 2013-01-09 |
| 1447513221 | Eugene Douglas Larsen Jr. | Internal Medicine | 280 N Hospital Dr Ste 4, Price, UT 84501 | 2012-06-18 |
| Find all providers in zip 84501 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841480126 | Joseph D. Hollingsworth, M.d., P.C. | Clinic/Center | 945 W Hospital Dr #4, Price, UT 84501 | 2007-08-01 |
| 1750580395 | Southeast Chiropractic Incorporated | Clinic/Center | 55 N 600 E, Price, UT 84501-2624 | 2007-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226237 | Utah Wellness Solutions | Clinic/Center | 1664 W Towne Center Dr Ste D, South Jordan, UT 84095-8612 | 2020-08-19 |
| 1376166561 | Nuna Munay | Clinic/Center | 9525 S Tramway Dr, Sandy, UT 84092-3108 | 2020-05-21 |
| 1679193338 | Uintah Basin Medical Center | Clinic/Center | 50 S 200 E, Duchesne, UT 84021 | 2020-04-23 |
| 1225658800 | Provider Services Network, Inc. | Clinic/Center | 765 E 340 S Ste 206, American Fork, UT 84003-3310 | 2020-04-23 |
| 1578100186 | 124 South Fairfield LLC | Clinic/Center | 124 S Fairfield Rd Ste B, Layton, UT 84041-7106 | 2019-12-02 |
| 1710468384 | Skull Valley Health Clinic | Clinic/Center | 1929 Aaron Dr Ste I, Tooele, UT 84074-8112 | 2018-08-22 |
| 1275021784 | Axis Chiropractic and Massage Clinic, LLC | Clinic/Center | 1681 W 3860 S Ste 106, West Valley City, UT 84119-6274 | 2018-04-30 |
| 1760979397 | Moenkopi Counseling PC | Clinic/Center | 230 N 1680 E Ste H2, Saint George, UT 84790-2585 | 2018-04-19 |
| 1669978896 | Southern Utah Vision Care Pllc | Clinic/Center | 1251 Northfield Rd Ste 215, Cedar City, UT 84721-8623 | 2018-04-05 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
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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.