NPIMap

Individual provider Active NPI

Sean Cameron Doyle, D.O.

  • Family Medicine Physician
  • Pleasant Grove, UT
National Provider Identifier
1235138751
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6167776-1204 Issued in UT
Practice address
830 N 2000 W
Pleasant Grove, UT 84062-4047
Phone
(801) 756-3511
Fax
(801) 443-1164
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101014857 MI
Family Medicine Physician 207Q00000X 6167776-1204 UT Primary

Addresses

Primary practice location

830 N 2000 W
Pleasant Grove, UT 84062-4047

Mailing address

830 N 2000 W
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

Other identifiers 7

IdentifierTypeStateIssuer
D7287MedicaidUT
1026429OtherUTDESERET HEALTHCARE TRUST
107047817101OtherUTSELECT HEALTH
30595OtherUTALTIUS
87029387384062B003OtherUTTRICARE
870293873SCDOtherUTEMI HEALTH
97137OtherUTPEHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070220000453 UT Practitioner - Family Practice 5496857583 Reassigns benefits to 1 organization
I20260202003057 HI Practitioner - Family Practice 5496857583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians
Alii Health CenterGroup PAC ID 4486984549, 50 clinicians

Practice addresses (Care Compare)

226 N 1100
American Fork, UT 84003-2054
Phone (801) 855-3841

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

Hospital & facility affiliations

  • Valeo Home Health Home health agency, Murray, UT, CCN 467217
  • Dignity Home Health of Utah Home health agency, American Fork, UT, CCN 467239
  • Utah Home Health - North Home health agency, Bountiful, UT, CCN 467355
  • Dignity Hospice of Utah Hospice, American Fork, UT, CCN 461601
  • American Fork Hospital Hospital, American Fork, UT, CCN 460023
  • Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001
  • Orem Community Hospital Hospital, Orem, UT, CCN 460043

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101014857MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical Family Medicine Current Accepting new patients
Premier Family Medical - Lindon Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Ali'I Health Center CurrentSince Mar 1, 2026 Accepting new patients
Alii Health Center PastSince Feb 14, 2021 Accepting new patients
Alii Health Center Past Accepting new patients
Premier Family Medical - Saratoga Springs Family Medicine Past Accepting new patients

Locations

78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321

78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1235138751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 N 2000 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624047",
            "telephone_number": "801-756-3511",
            "fax_number": "801-443-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 N 2000 W",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624047",
            "telephone_number": "801-756-3511",
            "fax_number": "801-443-1164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "SEAN",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101014857",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "6167776-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D7287",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERET HEALTHCARE TRUST",
            "identifier": "1026429",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107047817101",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "30595",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "87029387384062B003",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMI HEALTH",
            "identifier": "870293873SCD",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEHP",
            "identifier": "97137",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Grove, UT

Sources for this page

Verify at the official NPI Registry.