Oak Hill Medical Group LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

OAK HILL MEDICAL GROUP LLC

Practice address

6781 N 2100 E
Liberty, UT 84310-4701

Phone

(435) 770-4673

Fax

(855) 965-0961

NPI assigned

Jan 6, 2020

Last updated

Mar 16, 2020By 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

Leisa Firth

Title

Chief Corporate Officer

Phone

(435) 755-5906

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1164061370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 N 2100 E",
            "city": "LIBERTY",
            "state": "UT",
            "postal_code": "843104701",
            "telephone_number": "435-770-4673",
            "fax_number": "855-965-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 N 2100 E",
            "city": "LIBERTY",
            "state": "UT",
            "postal_code": "843104701",
            "telephone_number": "435-770-4673",
            "fax_number": "855-965-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HILL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "FIRTH",
        "authorized_official_first_name": "LEISA",
        "authorized_official_title_or_position": "CHIEF CORPORATE OFFICER",
        "authorized_official_telephone_number": "435-755-5906"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Liberty",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Liberty",
            "address_1": "6781 N 2100 E",
            "city": "Liberty",
            "state": "UT",
            "country_code": "US",
            "postal_code": "843104701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.