Heron Medical PLLC
NPI 1487184610ActiveOrganization· Clinic/Center, Multi-Specialty· Salt Lake City, UT
Clinic/Center, Multi-Specialty in Salt Lake City, Utah, registered in NPPES in June 2017. The authorized official on file is Amy Noel De La Garza, MD, Owner.
Overview
| NPI | 1487184610 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 20, 2017 |
| Last updated in NPPES | Jun 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center, Multi-Specialty Primary | 261QM1300X | 10389489 | 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 |
|---|
Other Clinic/Center, Multi-Specialty providers in Salt Lake City
- 1003713090
- 1003931833
- 1053436881
- 1063353738
- 1083624738
- 1114145224
- 1124925110
- 1144927336
- 1164012431
- 1164379962
- 1174033989
- 1174062376
All 37 Clinic/Center, Multi-Specialty providers in Salt Lake City · All Clinic/Center, Multi-Specialty providers in Utah