Eastern Utah Pain

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

EASTERN UTAH PAIN

Practice address

230 N Hospital Dr
Suite 2
Price, UT 84501-4221

Phone

(435) 613-7246

NPI assigned

Sep 20, 2016

Last updated

Oct 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russell Beecher, DONPI 1265630941

Title

Owner

Phone

(435) 613-7246

Specialties & licenses 1

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, and the practitioner matching its NPPES authorized official.

• Russell Ogden Beecher, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Price, UT
  • NPI 1265630941
  Medicare reassignment Care Compare group NPD Authorized official
• Bret Bennett

  • Pain Medicine Physician
  • Price, UT
  • NPI 1457174930
  Medicare reassignment Care Compare group
• Trent Benjamin Greenhalgh, FNP

  • Nurse Practitioner
  • Helper, UT
  • NPI 1831742808
  Medicare reassignment NPD

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1407304454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 W 720 N",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "PRICE",
            "state": "UT",
            "postal_code": "845014221",
            "telephone_number": "435-613-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN UTAH PAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "BEECHER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-613-7246",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Adam Dustin, CSW
• Heath Doyle Earl, PH.D.
• Eastern Utah Eye Physicians
• Eastern Utah Eye Physicians
• Eastern Utah Imaging
• Eastern Utah Surgical Center
• Eastern Utah Surgical Center
• Eastern Utah Womens Health LLC
• Edward K. Madsen, M.D., a Professional Corporation
• Kaleb Egbert, MD

• Pain Medicine Physician in Price, UT
• Providers in Price, 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 Oct 20, 2016; 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.