Vernon Medical PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

VERNON MEDICAL PLLC

Practice address

630 E 1400 N Ste 118
Logan, UT 84341-2691

Phone

(435) 787-8146

Fax

(435) 787-8149

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Brian A Vernon, MD

Title

Owner

Phone

(435) 787-8146

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alder Grove Orthopedic Spine Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vernon Medical PLLC

  • Pediatrics Physician
  • Logan, UT
  • NPI 1699238436
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yohanna Sachiko Vernon, M.D.

  • Pediatrics Physician
  • Providence, UT
  • NPI 1396943494
  NPD

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1437623261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 118",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412691",
            "telephone_number": "435-799-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E 1400 N STE 118",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412691",
            "telephone_number": "435-787-8146",
            "fax_number": "435-787-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-787-8146",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "8591609-1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alder Grove Orthopedic Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alder Grove Orthopedic Spine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Utlo Partners, LLC
• Maryn Cate Van Tassell
• Vandaly Health, LLC
• Zachary Taft Vanleeuwen
• John Mitchell Vaterlaus, PH.D., LMFT
• Vernon Medical PLLC
• Verve Muscle Recovery
• Nichole Joy Virgil, OD
• Emma Joan Visser, RBT
• Harold Vonk, M.D.

• Orthopaedic Surgery Physician in Logan, UT
• Providers in Logan, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.