NPIMap

Organization Active NPI

Hurricane Family Practice, PC

  • Family Medicine Physician
  • Hurricane, UT
National Provider Identifier
1316071095
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HURRICANE FAMILY PRACTICE, PC
Practice address
11 South Main
Hurricane, UT 84737-1949
Phone
(435) 635-9444
Fax
(435) 635-8148
NPI assigned
Mar 15, 2007
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Dr. Melvin R Carter, MDNPI 1043277833
Title
Attending Physician
Phone
(435) 635-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

11 South Main
Hurricane, UT 84737-1949

Mailing address

11 South Main
Hurricane, UT 84737-1949
Phone (435) 635-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000469 UT Part B Supplier - Clinic/Group Practice 0244135846 Receives reassigned benefits from 2 practitioners
Practice locations: Hurricane, UT

National Provider Directory

National Provider Directory

Locations

545 W State St
Ste 9
Hurricane, UT 84737
Phone (435) 635-0614

90 S 700 W
Hurricane, UT 84737
Phone (435) 635-4485

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9149/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1316071095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOUTH MAIN",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371949",
            "telephone_number": "435-635-9444",
            "fax_number": "435-635-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SOUTH MAIN",
            "city": "HURRICANE",
            "state": "UT",
            "postal_code": "847371949",
            "telephone_number": "435-635-9444",
            "fax_number": "435-635-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURRICANE FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "435-635-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.