NPIMap

Organization Active NPI

Castleview Physician Practices, LLC

Doing business as Emery Medical Center

  • Family Medicine Physician
  • Castle Dale, UT
National Provider Identifier
1598082158
Registry record updated Apr 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CASTLEVIEW PHYSICIAN PRACTICES, LLC
Doing business as
Emery Medical Center
Practice address
90 West Main Street
Castle Dale, UT 84513
Phone
(435) 381-2305
Fax
(435) 381-5010
NPI assigned
Apr 22, 2010
Last updated
Apr 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2010

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

Authorized official

Name
Mr. Jess N Judy
Title
President
Phone
(615) 372-8508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

90 West Main Street
Castle Dale, UT 84513

Mailing address

PO Box 607
Castle Dale, UT 84513-0607
Phone (435) 381-2305

Other identifiers 1

IdentifierTypeStateIssuer
000066149OtherUTMEDICARE GROUP

Other names 1

  • Emery Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090518000607 UT Part B Supplier - Clinic/Group Practice 6305995598 Receives reassigned benefits from 37 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Price, UT; Castle Dale, UT

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Castleview Physician Practice LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271894400000",
    "number": "1598082158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "845130607",
            "telephone_number": "435-381-2305",
            "fax_number": "435-381-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 WEST MAIN STREET",
            "city": "CASTLE DALE",
            "state": "UT",
            "postal_code": "84513",
            "telephone_number": "435-381-2305",
            "fax_number": "435-381-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLEVIEW PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A",
        "authorized_official_last_name": "JUDY",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-372-8508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "000066149",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emery Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castle Dale, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.