Hobble Creek Medical Clinic, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

74190550160 Issued in UT

Legal business name

HOBBLE CREEK MEDICAL CLINIC, LLC

Practice address

672 W. 400 S.
Suite 101
Springville, UT 84663

Phone

(801) 491-9883

Fax

(801) 489-3141

NPI assigned

Sep 11, 2009

Organization subpart

No

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

Authorized official

Name

David S Devenport, M. D.

Title

M. D.

Phone

(801) 491-9883

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Townsend, MD

  • Pediatrics Physician
  • Springville, UT
  • NPI 1962554568
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1013240845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 W. 400 S.",
            "address_2": "SUITE 101",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-491-9883",
            "fax_number": "801-489-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 W. 400 S.",
            "address_2": "SUITE 101",
            "city": "SPRINGVILLE",
            "state": "UT",
            "postal_code": "84663",
            "telephone_number": "801-491-9883",
            "fax_number": "801-489-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBBLE CREEK MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "DEVENPORT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "M. D.",
        "authorized_official_telephone_number": "801-491-9883",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "74190550160",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "74190550160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lucero Hernandez
• Joshua S Heslop
• John R Hinman
• Hobble Creek Dental Care
• Hobble Creek Homecare LLC
• Hobble Creek Nursing & Rehab
• Hobblecreek Healthcare LLC
• Klinton Edward Hobbs, PH.D.
• Wendy Hodges
• Amber Hoffman, R.N.

• Pediatrics Physician in Springville, UT
• Providers in Springville, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.