Canyon Medical Group LLC
NPI 1952599409ActiveOrganization· Pediatrics· Logan, UT
Pediatrics in Logan, Utah, registered in NPPES in October 2007. The authorized official on file is Wendy Wimmer, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1952599409 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2007 |
| Last updated in NPPES | Jan 23, 2023 |
| Certified by provider | Jan 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 0708814 | UT |
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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