NPIMap

Organization Active NPI

Vernal Family Medicine

  • Family Medicine Physician
  • Vernal, UT
National Provider Identifier
1376291443
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VERNAL FAMILY MEDICINE
Practice address
1360 W Highway 40
Vernal, UT 84078-4203
Phone
(435) 777-8999
NPI assigned
Mar 16, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Dr. Mark E Henderson, DO
Title
Owner
Phone
(435) 777-8999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1360 W Highway 40
Vernal, UT 84078-4203

Mailing address

1360 W Highway 40
Vernal, UT 84078-4203

National Provider Directory

National Provider Directory

Locations

1360 W Highway 40
Ste B
Vernal, UT 84078
Phone (435) 250-4580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26336/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1376291443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840784203",
            "telephone_number": "435-777-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNAL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-777-8999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.