| Premier Family Medical | |
|
830 N 2000 W Pleasant Grove UT 84062-4047 | |
| (801) 756-3511 | |
| (801) 756-1705 |
| Full Name | Premier Family Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 830 N 2000 W, Pleasant Grove, Utah |
| Authorized Official Name and Position | Heather Guymon (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8017692571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medical 275 W 200 N Lindon UT 84042-5009 Ph: (801) 769-2571 | Premier Family Medical 830 N 2000 W Pleasant Grove UT 84062-4047 Ph: (801) 756-3511 |
| NPI Number | 1750725735 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 03/22/2024 |
| Medicare PECOS PAC ID | 7416197785 |
|---|---|
| Medicare Enrollment ID | O20130710000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750725735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Garrett B Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669587630 PECOS PAC ID: 2668441049 Enrollment ID: I20050131000220 |
| Provider Name | Steven B Cherrington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871608893 PECOS PAC ID: 1850341553 Enrollment ID: I20050131000572 |
| Provider Name | Michael S Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417047010 PECOS PAC ID: 2769423243 Enrollment ID: I20050514000028 |
| Provider Name | David J Astle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881611614 PECOS PAC ID: 5193744951 Enrollment ID: I20051122000311 |
| Provider Name | Mark K Hafen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306952056 PECOS PAC ID: 3971524943 Enrollment ID: I20051219000339 |
| Provider Name | Douglas R Mower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033228283 PECOS PAC ID: 7719890144 Enrollment ID: I20051227000091 |
| Provider Name | Toran J Macarthur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063521177 PECOS PAC ID: 7911997481 Enrollment ID: I20060208000424 |
| Provider Name | Sandra Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437105269 PECOS PAC ID: 5395758635 Enrollment ID: I20060808000098 |
| Provider Name | Jeffery D Kingsolver |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972687606 PECOS PAC ID: 5092715979 Enrollment ID: I20070127000090 |
| Provider Name | Tauaina J Ngatuvai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003992470 PECOS PAC ID: 9436151271 Enrollment ID: I20070208000085 |
| Provider Name | Sean C Doyle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235138751 PECOS PAC ID: 5496857583 Enrollment ID: I20070220000453 |
| Provider Name | Michael S Curtis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336280759 PECOS PAC ID: 0749389039 Enrollment ID: I20070627000543 |
| Provider Name | Kirk L Wright |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811989171 PECOS PAC ID: 4284718792 Enrollment ID: I20080222000060 |
| Provider Name | Cheryl A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417066671 PECOS PAC ID: 3971416306 Enrollment ID: I20080723000419 |
| Provider Name | Sondra D Heaston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104916956 PECOS PAC ID: 7315004652 Enrollment ID: I20090331000608 |
| Provider Name | Roger D Brockbank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669463626 PECOS PAC ID: 8224184759 Enrollment ID: I20090924000089 |
| Provider Name | Elwood J Corry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609984988 PECOS PAC ID: 0345240669 Enrollment ID: I20100415000971 |
| Provider Name | Marshall F Willis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194833475 PECOS PAC ID: 6204886948 Enrollment ID: I20100519000381 |
| Provider Name | Scott L Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336257617 PECOS PAC ID: 7810026580 Enrollment ID: I20100519000414 |
| Provider Name | Michael L Cosgrave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023127214 PECOS PAC ID: 0547173973 Enrollment ID: I20100603000967 |
| Provider Name | Timo J Hoggard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639288798 PECOS PAC ID: 9234042664 Enrollment ID: I20100603000985 |
| Provider Name | David K Hafen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134238207 PECOS PAC ID: 6406769835 Enrollment ID: I20101228001019 |
| Provider Name | Thad J Barkdull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871524421 PECOS PAC ID: 6103095781 Enrollment ID: I20110816000860 |
| Provider Name | Shawn P Mcmanus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376707323 PECOS PAC ID: 2264578996 Enrollment ID: I20110908001619 |
| Provider Name | Jill Bergeson Barkdull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043466899 PECOS PAC ID: 0244392504 Enrollment ID: I20120613000340 |
| Provider Name | Michael D Lehnardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497044911 PECOS PAC ID: 5496905234 Enrollment ID: I20121101000265 |
| Provider Name | Joshua J Hardman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780914283 PECOS PAC ID: 3072793975 Enrollment ID: I20140902001335 |
| Provider Name | Derrick Evan Pickering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720497597 PECOS PAC ID: 4688896616 Enrollment ID: I20141106002110 |
| Provider Name | Camber Hess |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750786190 PECOS PAC ID: 3375866890 Enrollment ID: I20150107002473 |
| Provider Name | Justin A Crop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801090659 PECOS PAC ID: 6002005063 Enrollment ID: I20150811005758 |
| Provider Name | Petr Ruda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083081533 PECOS PAC ID: 1456669639 Enrollment ID: I20151008000729 |
| Provider Name | Miles C Layton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790948669 PECOS PAC ID: 0345472791 Enrollment ID: I20160614000846 |
| Provider Name | Aaron J Peterson |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1861648644 PECOS PAC ID: 8820269723 Enrollment ID: I20160628003173 |
| Provider Name | Leslie Jane Huggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811442890 PECOS PAC ID: 4082901608 Enrollment ID: I20160926002387 |
| Provider Name | Bjorn Arthur Nordstrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346474749 PECOS PAC ID: 4284789298 Enrollment ID: I20170301001182 |
| Provider Name | William R Francis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619388998 PECOS PAC ID: 6608167887 Enrollment ID: I20170512000795 |
| Provider Name | Cydnie S Harp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184851594 PECOS PAC ID: 2365601408 Enrollment ID: I20180321001583 |
| Provider Name | Lorraine Galvez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1306970579 PECOS PAC ID: 6002170305 Enrollment ID: I20180515001394 |
| Provider Name | Jeff D Atkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295231850 PECOS PAC ID: 2961758800 Enrollment ID: I20180706000441 |
| Provider Name | Kent Willis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1114306131 PECOS PAC ID: 1850667007 Enrollment ID: I20180711003283 |
| Provider Name | Jared O Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568941284 PECOS PAC ID: 8325390040 Enrollment ID: I20181008003539 |
| Provider Name | Brian L Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508096 PECOS PAC ID: 0749528032 Enrollment ID: I20190212001396 |
| Provider Name | Morgan Ann Bateman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639648660 PECOS PAC ID: 8325388713 Enrollment ID: I20190321001788 |
| Provider Name | Shane M Hawthorne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629462189 PECOS PAC ID: 0840594388 Enrollment ID: I20191015002700 |
| Provider Name | Casey J Neeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073161311 PECOS PAC ID: 9739512583 Enrollment ID: I20191209001336 |
| Provider Name | Bethany J Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512086 PECOS PAC ID: 3476987660 Enrollment ID: I20191220001674 |
| Provider Name | Tiffany L Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245745017 PECOS PAC ID: 1355778309 Enrollment ID: I20200303002885 |
| Provider Name | Rachell Middleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871119024 PECOS PAC ID: 0547684490 Enrollment ID: I20200730002014 |
| Provider Name | Jenessa Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932713419 PECOS PAC ID: 8820418965 Enrollment ID: I20201019003200 |
| Provider Name | Jodi Wimmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336740695 PECOS PAC ID: 2365853587 Enrollment ID: I20201119001197 |
| Provider Name | Troy R Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487624664 PECOS PAC ID: 5698920593 Enrollment ID: I20210426000752 |
| Provider Name | Clint D Mower |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437653854 PECOS PAC ID: 9830594787 Enrollment ID: I20210816003457 |
| Provider Name | Joanie P Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548930993 PECOS PAC ID: 8224426416 Enrollment ID: I20211020001392 |
| Provider Name | Susan Denise Gunnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194319822 PECOS PAC ID: 3072903178 Enrollment ID: I20211203001924 |
| Provider Name | Corrie L Stapleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225796451 PECOS PAC ID: 0042603557 Enrollment ID: I20220204002128 |
| Provider Name | Vyctoria M Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689333106 PECOS PAC ID: 6709271851 Enrollment ID: I20220328001368 |
| Provider Name | Katelyn A Paskett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073267803 PECOS PAC ID: 6002202884 Enrollment ID: I20220404000952 |
| Provider Name | Sarah Prentice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033765763 PECOS PAC ID: 9234517020 Enrollment ID: I20220607002546 |
| Provider Name | Holden L Brown |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649775222 PECOS PAC ID: 6800140963 Enrollment ID: I20220801001381 |
| Provider Name | Taija M Leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912515685 PECOS PAC ID: 4486070513 Enrollment ID: I20220920003387 |
| Provider Name | Joslyn D Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679201826 PECOS PAC ID: 0143697805 Enrollment ID: I20221109001552 |
| Provider Name | Micheal S Mcgrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912355066 PECOS PAC ID: 4183919962 Enrollment ID: I20230130001878 |
| Provider Name | Natalia L Mcgrew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336704378 PECOS PAC ID: 5193124196 Enrollment ID: I20230316000725 |
| Provider Name | Sonya R Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962101204 PECOS PAC ID: 0547625170 Enrollment ID: I20230503001407 |
| Provider Name | Jessica A Fraughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083309645 PECOS PAC ID: 8729440300 Enrollment ID: I20230814002604 |
| Provider Name | Tara D Colledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689353146 PECOS PAC ID: 3072975267 Enrollment ID: I20230821002038 |
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