Envision Physician Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ENVISION PHYSICIAN SERVICES LLC

Doing business as

Preferred Medical Group

Practice address

1345 W 1600 N
Orem, UT 84057-2431

Phone

(801) 317-8099

NPI assigned

Aug 18, 2015

Last updated

Feb 29, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sherie Stewart, STEWART

Title

Manager

Phone

(801) 225-7971

Specialties & licenses 3

Addresses

Other names 1

• Preferred Medical Group Doing business as

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDHGCA

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582934400000",
    "number": "1003282567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E MAIN ST",
            "address_2": "SUITE 121",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032407",
            "telephone_number": "801-225-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W 1600 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840572431",
            "telephone_number": "801-317-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Professional Pl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809048106",
            "country_code": "US",
            "telephone_number": "801-225-7971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 S Union Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051953",
            "country_code": "US",
            "telephone_number": "801-225-7971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENVISION PHYSICIAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SHERIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-225-7971",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "STEWART"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Orem, UT
• Providers in Orem, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.