Premier Provider Health Utah PLLC
NPI 1699311209ActiveOrganization· Internal Medicine· Ogden, UT
Internal Medicine in Ogden, Utah, registered in NPPES in November 2019. The authorized official on file is Nora Lopez, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699311209 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2019 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine, Infectious Disease | 207RI0200X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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