Active NPI
Edward Guy Hunter, PA-C
- Medical Physician Assistant
- Bountiful, UT
National Provider Identifier
1124000427
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2017.
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 112426-1206
- Practice address
- 380 N 200 W
Suite 209
Bountiful, UT 84010-7079 - Phone
- (801) 298-1300
- Fax
- (801) 296-6199
- NPI assigned
- Nov 14, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 112426-1206 | UT | Primary |
Addresses
Primary practice location
380 N 200 W
Suite 209
Bountiful, UT 84010-7079
Mailing address
380 N 200 W
Suite 209
Bountiful, UT 84010-7079
Phone (801) 298-1300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00662901 | Other | UT | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112426-1206 | UT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1124000427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 N 200 W",
"address_2": "SUITE 209",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107079",
"telephone_number": "801-298-1300",
"fax_number": "801-296-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 N 200 W",
"address_2": "SUITE 209",
"city": "BOUNTIFUL",
"state": "UT",
"postal_code": "840107079",
"telephone_number": "801-298-1300",
"fax_number": "801-296-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNTER",
"first_name": "EDWARD",
"middle_name": "GUY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-14",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "UT",
"license": "112426-1206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00662901",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bountiful, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.