Premier Health Network LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

PREMIER HEALTH NETWORK LLC

Practice address

81 N 100 E
Hurricane, UT 84737-1813

Phone

(480) 388-7585

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Justin Tyler

Title

President

Phone

(480) 388-7585

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759
  Medicare reassignment NPD
• Michelle Nicole Johnson, FNP-BC

  • Family Nurse Practitioner
  • Washington, UT
  • NPI 1538936745
  Medicare reassignment NPD
• Emily Elizabeth Tyler, NP

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1548632623

  Multi-Specialty, UT

  Medicare reassignment NPD

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1285473173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 N 100 E",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N 100 E",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371813",
            "telephone_number": "480-388-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-388-7585"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Parker
• Tyler N Perry, PT
• Chalise Petersen
• Alyssa Phillips
• Andrew Pigott, PHARMD
• Premier Pediatrics LLC
• Ian Daniel Primavera, PA-C
• Red Mesa Personal Care
• Red Rock Mobile Healthcare
• Reevive Counseling, PLLC

• Pain Medicine Physician in Hurricane, UT
• Providers in Hurricane, UT by specialty
• Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.