Active NPI
Daniel W Egan, M.D.
- Family Medicine Physician
- Alpine, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3460321205
- Practice address
- 155 W Canyon Crest Rd
Suite 200
Alpine, UT 84004-1819 - Phone
- (801) 763-9851
- Fax
- (801) 763-9852
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 30, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3460321205 | UT | Primary |
Addresses
Primary practice location
155 W Canyon Crest Rd
Suite 200
Alpine, UT 84004-1819
Mailing address
155 W Canyon Crest Rd
Suite 200
Alpine, UT 84004-1819
Phone (801) 763-9851
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D4750 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
155 W Canyon Crest Rd
Suite 200
Alpine, UT 84004-1966
Phone (801) 763-9851
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3460321205 | UT | MD | Family Medicine Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Alpine, UT
- NPI 1427207836
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health Utah Valley Hospital
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
-
dba Intermountain Health American Fork Hospital
- General Acute Care Hospital
- American Fork, UT
- NPI 1912014358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269907200000",
"number": "1417066564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W CANYON CREST RD",
"address_2": "SUITE 200",
"city": "ALPINE",
"state": "UT",
"postal_code": "840041819",
"telephone_number": "801-763-9851",
"fax_number": "801-763-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W CANYON CREST RD",
"address_2": "SUITE 200",
"city": "ALPINE",
"state": "UT",
"postal_code": "840041819",
"telephone_number": "801-763-9851",
"fax_number": "801-763-9852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "DANIEL",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "3460321205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D4750",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpine, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.