Active NPI
Eric Hammer
- Physician Assistant
- Gunnison, UT
National Provider Identifier
1194180976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 96217871206
- Practice address
- 49 East Center Street
Gunnison, UT 84634-0429 - Phone
- (435) 528-7231
- Fax
- (435) 528-7232
- NPI assigned
- Dec 22, 2015
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 96217871206 | UT | Primary |
Addresses
Primary practice location
49 East Center Street
Gunnison, UT 84634-0429
Mailing address
49 East Center Street
PO Box 429
Gunnison, UT 84634-0429
Phone (435) 528-7231
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | medreview@reverehealth.com | Revere Health PC |
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190321001245 | UT | Practitioner - Physician Assistant | 0749586626 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Revere Health PC
Practice addresses (Care Compare)
95 E Ctr St
Gunnison, UT 84634-7770
Phone (435) 528-7227
Hospital & facility affiliations
- Gunnison Valley Hospital Home Health
- Gunnison Valley Hospice
- Gunnison Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96217871206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revere Health PC | Current | Accepting new patients | |
| Revere Health PC | Current | Accepting new patients |
Locations
1055 N 500 W
Ste 212
Provo, UT 84604
Phone (801) 374-2362
1055 N 500 W
Provo, UT 84604
Phone (801) 429-8000
Interoperability endpoints
- erichammer@cuccu.allscriptsdirect.net
Organizations & group practices 6
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.
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- Orthopaedic Surgery Physician
- Saratoga Springs, UT
- NPI 1538867999
-
- Orthopaedic Surgery Physician
- Orem, UT
- NPI 1780017954
-
- Orthopaedic Surgery Physician
- American Fork, UT
- NPI 1891813960
-
- Pharmacist
- Provo, UT
- NPI 1922156884
-
- Multi-Specialty Clinic/Center
- Spanish Fork, UT
- NPI 1851142285
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gunnison, UT
- NPI 1437210572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1194180976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 EAST CENTER STREET",
"address_2": "PO BOX 429",
"city": "GUNNISON",
"state": "UT",
"postal_code": "846340429",
"telephone_number": "435-528-7231",
"fax_number": "435-528-7232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 EAST CENTER STREET",
"city": "GUNNISON",
"state": "UT",
"postal_code": "846340429",
"telephone_number": "435-528-7231",
"fax_number": "435-528-7232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMER",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-22",
"last_updated": "2023-11-27",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "96217871206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "medreview@reverehealth.com",
"affiliation": "Y",
"affiliationName": "Revere Health PC",
"address_1": "49 East Center Street",
"city": "Gunnison",
"state": "UT",
"country_code": "US",
"postal_code": "846340429",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gunnison, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.