Michael Austin Healey, D.O.
Individual provider Active NPI Family Medicine Physician · Provo, UT
NPI 1659577674 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1659577674
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 8862859-1204 (UT)
- Practice address
- 3200 N Canyon Rd
# D
Provo, UT 84604-4571 - Phone
- (801) 373-3300
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
1975 N State St
Orem, UT 84057-2028
Phone (801) 714-5000
Hospital & facility affiliations
- Intermountain Homecare Home Health Salt Lake
- Intermountain Health Utah Valley Hospital
- Intermountain Health Riverton Hospital
- Timpanogos Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140625002473 | UT | Practitioner - Family Practice | 4587808506 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 633 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 5688 | NE | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Past |
Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
1975 N State St
Orem, UT 84057
Phone (801) 714-5000
395 W Cougar Blvd
Ste 603
Provo, UT 84604
Phone (801) 354-7900
395 W Cougar Blvd
Ste B
Provo, UT 84604
Phone (801) 373-3300
3200 N Canyon Rd
Ste D
Provo, UT 84604
Phone (801) 373-3300
354 W State Road 73
Saratoga Springs, UT 84045
Phone (801) 341-5200
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5688 | NE | |
| Family Medicine Physician | 207Q00000X | 8862859-1204 | UT | Yes |
Addresses
Primary practice location
3200 N Canyon Rd
# D
Provo, UT 84604-4571
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 373-3300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.healey@direct.imail.org |
NPI Registry JSON
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628035200000",
"number": "1659577674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-373-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N CANYON RD",
"address_2": "# D",
"city": "PROVO",
"state": "UT",
"postal_code": "846044571",
"telephone_number": "801-373-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEALEY",
"first_name": "MICHAEL",
"middle_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-26",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "5688",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "8862859-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.healey@direct.imail.org",
"affiliation": "N",
"address_1": "3200 N Canyon Rd",
"address_2": "# D",
"city": "Provo",
"state": "UT",
"country_code": "US",
"postal_code": "846044571",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
- Jared Haymore
- Brinlee Haynes
- Chalice Hazel
- Nicole Hazel
- Thomas W Hazen
- Healing Within Counseling
- Healix LLC
- Health Clinics of Utah
- Healthcare Medical Supply Inc
- Carrie Ellen Healy
All providers in Provo, UT · Family Medicine Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.