Pine Top Medical P.C.
NPI 1679956445ActiveOrganization· Internal Medicine· Price, UT
Internal Medicine in Price, Utah, registered in NPPES in June 2015. The authorized official on file is Eugene Douglas Larsen, D.O., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679956445 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2015 |
| Last updated in NPPES | Nov 2, 2026 |
| Certified by provider | Nov 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 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) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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