Roger Martins Machado, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10968715-1206 Issued in UT

Practice address

150 N Main St Ste 105
Heber City, UT 84032-1670

Phone

(435) 654-1377

NPI assigned

Sep 13, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: roger.machado.1@16299.direct.athenahealth.com

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.

• Utah Valley Emergency Physicians Inc

  • Emergency Medicine Physician
  • Provo, UT
  • NPI 1649204553
  Medicare reassignment
• Utah Valley Radiology Associates Inc

  • Diagnostic Radiology Physician
  • Provo, UT
  • NPI 1265483598
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1124501226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 S OAK LN",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840889239",
            "telephone_number": "801-940-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N MAIN ST STE 105",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840321670",
            "telephone_number": "435-654-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHADO",
        "first_name": "ROGER",
        "middle_name": "MARTINS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "10968715-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katharine I Loman, RD, LDN
• Brandon Seth Longenecker, DO
• Mallory Jo Luke
• Nancy Luke
• Janis Maag, NP
• Kevin Mandala, DPT
• Dylan Mansfield, HIS-INTERN
• Marci Heugly CMHC LLC
• Ashley Karen Mathis, MS, RDN, CD
• Nathaniel Q Matis

• Medical Physician Assistant in Heber City, UT
• Providers in Heber City, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.