Individual provider Active NPI

Cady McAnally, M.D.

  • Pediatrics Physician
  • Heber City, UT
National Provider Identifier
1073967717
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12990081-1205 Issued in UT
Practice address
454 E Medical Way
Heber City, UT 84032-1391
Phone
(435) 654-2500
NPI assigned
Apr 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58153 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 12990081-1205 UT Primary

Addresses

Primary practice location

454 E Medical Way
Heber City, UT 84032-1391

Mailing address

454 E Medical Way
Heber City, UT 84032-1391
Phone (435) 654-2500

Other practice location 1

9059 W Lake Pleasant Pkwy Ste E540
Peoria, AZ 85382-8396
Phone (623) 322-3380

Other practice location 2

1919 E Thomas Rd
Phoenix, AZ 85016-7710
Phone (602) 546-2923

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516003644 UT Practitioner - Pediatric Medicine 7315303369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58153AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Feb 5, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Feb 5, 2023 Accepting new patients
Pleasant Pediatrics PLC Pediatrics PastSince Apr 1, 2021 Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients
Pleasant Pediatrics PLC Pediatrics Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1073967717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E MEDICAL WAY",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321391",
            "telephone_number": "435-654-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E MEDICAL WAY",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321391",
            "telephone_number": "435-654-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9059 W Lake Pleasant Pkwy Ste E540",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853828396",
            "country_code": "US",
            "telephone_number": "623-322-3380",
            "fax_number": "623-322-4399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1919 E Thomas Rd",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850167710",
            "country_code": "US",
            "telephone_number": "602-546-2923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCANALLY",
        "first_name": "CADY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "58153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "12990081-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.