Premier Family Medical - Dermatology
NPI 1972952828ActiveOrganization· Dermatology· American Fork, UT
Dermatology in American Fork, Utah, registered in NPPES in June 2016, part of Premier Family Medical LLC. The authorized official on file is Heather Guymon, Credentialing Specialist.
Overview
| NPI | 1972952828 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Premier Family Medical LLC |
| NPI issued | Jun 10, 2016 |
| Last updated in NPPES | Mar 22, 2024 |
| Certified by provider | Mar 22, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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