Northeastern Utah Medical Group
NPI 1316316482ActiveOrganization· Physician Assistant· Roosevelt, UT
Physician Assistant in Roosevelt, Utah, registered in NPPES in September 2015, part of Uintah Basin Medical Center. The authorized official on file is James I. Marshal, Ceo.
Overview
| NPI | 1316316482 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Uintah Basin Medical Center |
| NPI issued | Sep 18, 2015 |
| Last updated in NPPES | Sep 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 6411766-1206 | UT |
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 |
|---|
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