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Pioneer Comprehensive Medical LLC

NPI 1891975595ActiveOrganization· Family Medicine· Draper, UT

Family Medicine in Draper, Utah, registered in NPPES in November 2007. The authorized official on file is Robin Olsen, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1891975595
StatusActive
Entity typeOrganization
NPI issuedNov 9, 2007
Last updated in NPPESJan 2, 2024
Certified by providerJan 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X891818251205UT
Nurse Practitioner, Family363LF0000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (UT)

Medicare sources and data years

Other Family Medicine providers in Draper

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