Treehouse Acorn Pediatrics & Family Care
NPI 1619553864ActiveOrganization· Pediatrics· Logan, UT
Pediatrics in Logan, Utah, registered in NPPES in March 2021. The authorized official on file is Miranda Overy Bryan, Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619553864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2021 |
| Last updated in NPPES | Nov 16, 2022 |
| Certified by provider | Nov 16, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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