Orthoutah, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ORTHOUTAH, LLC

Practice address

990 Medical Dr
Suite G4
Brigham City, UT 84302-4713

Phone

(435) 734-2151

Fax

(435) 723-3391

NPI assigned

Apr 13, 2007

Last updated

Jul 13, 2021By 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

Dr. Matthew Fetzer Bitner, M.D.NPI 1467563866

Title

Physician Owner

Phone

(435) 734-2151

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT2 enrollments

Enrollment records 2

Locations

Practitioners 6

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.

• Matthew F Bitner, M.D.

  • Orthopaedic Surgery Physician
  • Brigham City, UT
  • NPI 1467563866
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Dale Higbee, D.O.

  • Orthopaedic Surgery Physician
  • Grand Blanc, MI
  • NPI 1669702429

  UT

  Medicare reassignment Care Compare group NPD
• Daniel J Johnson, DO

  • Orthopaedic Surgery Physician
  • Brigham City, UT
  • NPI 1356720221
  Medicare reassignment NPD
• Travis A Peterson, DO

  • Orthopaedic Hand Surgery Physician
  • Provo, UT
  • NPI 1033326020

  Orthopaedic Surgery

  Medicare reassignment NPD
• Daniel Bitner, PA-C

  • Physician Assistant
  • Brigham City, UT
  • NPI 1881118990
  Medicare reassignment
• Hayden S Worwood

  • Medical Physician Assistant
  • St George, UT
  • NPI 1205480738
  Medicare reassignment

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1447474929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "SUITE G4",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-2151",
            "fax_number": "435-734-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 MEDICAL DR",
            "address_2": "SUITE G4",
            "city": "BRIGHAM CITY",
            "state": "UT",
            "postal_code": "843024713",
            "telephone_number": "435-734-2151",
            "fax_number": "435-723-3391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N 1000 W",
            "address_purpose": "LOCATION",
            "city": "Tremonton",
            "state": "UT",
            "postal_code": "843379356",
            "country_code": "US",
            "telephone_number": "435-734-2151",
            "fax_number": "435-723-3391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2850 N 2000 W Ste 105",
            "address_purpose": "LOCATION",
            "city": "Farr West",
            "state": "UT",
            "postal_code": "844049230",
            "country_code": "US",
            "telephone_number": "435-734-2151",
            "fax_number": "435-723-3391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOUTAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "BITNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FETZER",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "435-734-2151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447474929",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Analise Olpin
• Robert Olsen
• Aaron Michael Olson, D.D.S.
• Joseph C. Olson, O.D.
• Orthopaedic Therapy and Sports Performance LLC
• Christy Annie Overson
• Clayton Pabst
• Saige M Palmer
• Jose Roman Pantoja
• Lydia Park

• Orthopaedic Surgery Physician in Brigham City, UT
• Providers in Brigham City, 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 Jul 13, 2021; 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.