Valley Family Medicine PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

346411 Issued in UT

Legal business name

VALLEY FAMILY MEDICINE PC

Practice address

2376 N 400 E Ste 102
Tooele, UT 84074-3413

Phone

(435) 843-1225

Fax

(435) 843-1228

NPI assigned

Dec 7, 2010

Last updated

Sep 20, 2011By 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

Dr. Carolyn Forbes, M.D.NPI 1144251711

Title

Owner

Phone

(435) 843-1225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12102/brand/1/csg/1/fhir/r4

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Forbes, M.D.

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1144251711
  Medicare reassignment Care Compare group NPD Authorized official
• Spencer Larson, DO

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1790300143
  Medicare reassignment Care Compare group NPD
• Sara Carstensen, PA-C

  • Physician Assistant
  • Tooele, UT
  • NPI 1730372947
  Medicare reassignment
• Jamison Lane Creekmore

  • Medical Physician Assistant
  • Salt Lake City, UT
  • NPI 1871294215
  Medicare reassignment
• Cameron Dortch, MPAS, PA-C

  • Physician Assistant
  • Tooele, UT
  • NPI 1982914693
  Medicare reassignment
• McKenzie Bright, PA-C

  • Medical Physician Assistant
  • Ogden, UT
  • NPI 1043869639
  NPD
• Richard Scott, PA-C

  • Physician Assistant
  • West Valley City, UT
  • NPI 1992280788
  NPD
• David Anderson

  • Physician Assistant
  • Tooele, UT
  • NPI 1417500158

  Family Medicine

  NPD (past)
• Kyle W Harmer, PA-C

  • Medical Physician Assistant
  • West Jordan, UT
  • NPI 1982883856
  NPD (past)

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1033412481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 N 400 E STE 102",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-843-1225",
            "fax_number": "435-843-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2376 N 400 E STE 102",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743413",
            "telephone_number": "435-843-1225",
            "fax_number": "435-843-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-843-1225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "346411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308723752008",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Utah (Stansbury Health Center)
• US Army Health Clinic (Ohc Tooele Army Depot)
• Emmanuella Uzoigwe, DNP FNP-BC
• Erika Valdez, SSW
• Daniela Valerio
• Valley Mental Health Incorporated
• Valley West Health (Valley West Medical, LLC)
• Peter Gibbs Ventura, MD
• Clair Reed Vernon, DMD
• Heidi Vernon, LMFT

• Family Medicine Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.