Heber Valley Medical LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HEBER VALLEY MEDICAL LLC

Practice address

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

Phone

(435) 657-0101

NPI assigned

Mar 21, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Crittenden

Title

Manager

Phone

(801) 368-4107

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• David C. Larson, MD

  • Pediatrics Physician
  • Heber City, UT
  • NPI 1356324511
  NPD (past)
• Katherine Matushek, APRN

  • Pediatric Nurse Practitioner
  • Heber City, UT
  • NPI 1336916782
  NPD (past)
• Holly Mallett Richter, M.D.

  • Pediatrics Physician
  • Fayetteville, NC
  • NPI 1033106844
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1114487717",
    "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": "801-368-4107"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBER VALLEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-368-4107"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heber Opco LLC
• Heber PDC PLLC
• Heber Valley Chiropractic LLC
• Heber Valley Dermatology
• Heber Valley Internal Medicine
• Heber Valley Oral & Maxillofacial Surgery
• Heber Valley Pediatric
• Heber Valley Physical Therapy Inc
• Johanna Hendrickson, PA-C
• Scott Curtis Hendrickson, DO

• Pediatrics Physician in Heber City, UT
• Providers in Heber City, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.