Organization Active NPI

Skilled MD, LLC

  • Sports Medicine (Family Medicine) Physician
  • Morgan, UT
National Provider Identifier
1316828841
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SKILLED MD, LLC
Practice address
316 N Sunny MDWS
Morgan, UT 84050-6823
Phone
(801) 821-7920
Fax
(866) 492-0442
NPI assigned
Sep 10, 2025
Last updated
Jan 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
McKennan J Thurston, MDNPI 1194088856
Title
Manager
Phone
(801) 821-7980

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
Sports Medicine (Family Medicine) Physician 207QS0010X NU Primary

Addresses

Primary practice location

316 N Sunny MDWS
Morgan, UT 84050-6823

Mailing address

316 N Sunny MDWS
Morgan, UT 84050-6823
Phone (801) 821-7920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260202001127 UT Part B Supplier - Clinic/Group Practice 8820576705 Receives reassigned benefits from 2 practitioners
Practice locations: Morgan, UT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1316828841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N SUNNY MDWS",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840506823",
            "telephone_number": "801-821-7920",
            "fax_number": "866-492-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N SUNNY MDWS",
            "city": "MORGAN",
            "state": "UT",
            "postal_code": "840506823",
            "telephone_number": "801-821-7920",
            "fax_number": "866-492-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "MCKENNAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-821-7980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.