Individual provider Active NPI

Clint Mower

  • Family Medicine Physician
  • Lehi, UT
National Provider Identifier
1437653854
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12385794-1204 Issued in UT
Practice address
680 E Main St
Lehi, UT 84043-2241
Phone
(801) 768-1699
NPI assigned
Mar 20, 2018
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 12385794-1204 UT Primary

Addresses

Primary practice location

680 E Main St
Lehi, UT 84043-2241

Mailing address

680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816003457 UT Practitioner - Family Practice 9830594787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

680 E Main St
Lehi, UT 84043-2241
Phone (801) 768-1699

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 26, 2021 Accepting new patients
Premier Family Medical Single Specialty Current Accepting new patients
Premier Family Medical - Dermatology CurrentSince Jul 26, 2021 Accepting new patients
Premier Family Medical - Traverse Mountain Family Medicine PastSince Mar 24, 2024 Accepting new patients
Premier Family Medical - Saratoga Springs Single Specialty Past Accepting new patients

Locations

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

226 N 1100 E
Ste A
American Fork, UT 84003
Phone (801) 763-3841

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

275 W 200 N
Ste 310
Lindon, UT 84042

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

1528 N Commerce Dr
Ste 204
Saratoga Springs, UT 84045

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1437653854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432241",
            "telephone_number": "801-768-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 E MAIN ST",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432241",
            "telephone_number": "801-768-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOWER",
        "first_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12385794-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehi, UT

Sources for this page

Verify at the official NPI Registry.