Premier Family Medical - Eagle Mountain
NPI 1043762479ActiveOrganization· Family Medicine· Eagle Mountain, UT
Family Medicine in Eagle Mountain, Utah, registered in NPPES in November 2016, part of Premier Family Medical. The authorized official on file is Heather Guymon, Credentialing Specialist.
Overview
| NPI | 1043762479 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Premier Family Medical |
| NPI issued | Nov 2, 2016 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other family medicine physicians in Eagle Mountain
- 1487624664
- 1962031435
- 1437594421
- 1902508674
- 1649160235
- 1760672000