NPIMap

Individual provider Active NPI

Douglas R Mower, M.D.

  • Family Medicine Physician
  • American Fork, UT
National Provider Identifier
1033228283
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1787061205 Issued in UT
Practice address
226 N 1100 E
Suite a
American Fork, UT 84003-2054
Phone
(801) 855-3841
Fax
(801) 855-3847
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1787061205 UT Primary

Addresses

Primary practice location

226 N 1100 E
Suite a
American Fork, UT 84003-2054

Mailing address

226 N 1100 E
Suite a
American Fork, UT 84003-2054
Phone (801) 855-3841

Other identifiers 1

IdentifierTypeStateIssuer
09287MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051227000091 UT Practitioner - Family Practice 7719890144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

226 N 1100
American Fork, UT 84003-2054
Phone (801) 855-3841

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1787061205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical Family Medicine Current Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Premier Family Medical - Saratoga Springs Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
North Valley Emergency Physicians LC Past Accepting new patients

Locations

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

226 N 1100 E
Ste A
American Fork, UT 84003
Phone (801) 763-3841

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

1528 N Commerce Dr
Ste 204
Saratoga Springs, UT 84045

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1033228283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "address_2": "SUITE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3841",
            "fax_number": "801-855-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N 1100 E",
            "address_2": "SUITE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032054",
            "telephone_number": "801-855-3841",
            "fax_number": "801-855-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWER",
        "first_name": "DOUGLAS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1787061205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09287",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in American Fork, UT

Sources for this page

Verify at the official NPI Registry.