Heber Valley Internal Medicine

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

HEBER VALLEY INTERNAL MEDICINE

Practice address

380 E 1500 S Ste 201
Heber City, UT 84032-3942

Phone

(435) 657-0101

Fax

(435) 315-3146

NPI assigned

Aug 3, 2020

Organization subpart

No

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

Authorized official

Name

Isaac Button

Title

Manager

Phone

(435) 657-0101

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1013527399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W CANYON CREST RD",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041679",
            "telephone_number": "435-657-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S STE 201",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323942",
            "telephone_number": "435-657-0101",
            "fax_number": "435-315-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBER VALLEY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "BUTTON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-657-0101"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heber City Dental
• Heber Opco LLC
• Heber PDC PLLC
• Heber Valley Chiropractic LLC
• Heber Valley Dermatology
• Heber Valley Medical LLC
• Heber Valley Oral & Maxillofacial Surgery
• Heber Valley Pediatric
• Heber Valley Physical Therapy Inc
• Johanna Hendrickson, PA-C

• Adult Medicine Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Adult Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.