Hawkins Boone Mecham, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

11099671-1204 Issued in UT

Practice address

2162 S 180 E # 1000
Provo, UT 84606-7370

Phone

(385) 380-3425

NPI assigned

May 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24427/brand/1/csg/1/fhir/r4
• Direct secure messaging: hawkins.mecham.1@12134.direct.athenahealth.com
• Direct secure messaging: hawkins.mecham.1@24427.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/12134/brand/1/csg/1/fhir/r4

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.

• Noorda College of Osteopathic

  • Neuromusculoskeletal Medicine & OMM Physician
  • Provo, UT
  • NPI 1871203414

  Neuromusculoskeletal Medicine, Sports Medicine

  NPD

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1285080796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 S 180 E STE 1000",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846067370",
            "telephone_number": "385-380-3425",
            "fax_number": "855-873-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2162 S 180 E # 1000",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846067370",
            "telephone_number": "385-380-3425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11041 S Lake Run Rd",
            "address_purpose": "LOCATION",
            "city": "South Jordan",
            "state": "UT",
            "postal_code": "840098721",
            "country_code": "US",
            "telephone_number": "716-290-0944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 East Ave",
            "address_purpose": "LOCATION",
            "city": "Lockport",
            "state": "NY",
            "postal_code": "140943201",
            "country_code": "US",
            "telephone_number": "716-514-1233",
            "fax_number": "716-514-5549",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 S Main St # 2",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "63501",
            "country_code": "US",
            "telephone_number": "801-836-4621",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1888 W 800 N",
            "address_purpose": "LOCATION",
            "city": "Pleasant Grove",
            "state": "UT",
            "postal_code": "840624097",
            "country_code": "US",
            "telephone_number": "801-610-7321",
            "fax_number": "801-610-7306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECHAM",
        "first_name": "HAWKINS",
        "middle_name": "BOONE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-13",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "UT",
            "license": "110996711204",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "DO187716",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "UT",
            "license": "11099671-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENSE",
            "identifier": "110996711204",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANCE LICENSE",
            "identifier": "110996718904",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darin S. McSpadden, OTR
• Heidi McSweeney, N.P.
• Stephanie Meade
• Ashley Mecham
• Emma Virginia Mecham
• Jordan Len Mecham, PA
• Margaret Patricia Mecham
• Sharie Mecham
• Medallion Manor Inc.
• Medela Wound Care, LLC

• All providers in Provo, UT
• Neuromusculoskeletal Medicine & OMM Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.