Jordan Landing Family Medicine LLC
NPI 1962606657ActiveOrganization· Family Medicine· West Jordan, UT
Family Medicine in West Jordan, Utah, registered in NPPES in June 2007. The authorized official on file is Brenten Clark Pugh, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962606657 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2007 |
| Last updated in NPPES | Sep 25, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 50540301205 | 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 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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