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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

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 (3,948 clinicians)

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 Home health agency · South Jordan, UT · CCN 467030
  • Intermountain Health Utah Valley Hospital Hospital · Provo, UT · CCN 460001
  • Intermountain Health Riverton Hospital Hospital · Riverton, UT · CCN 460058
  • Timpanogos Regional Hospital Hospital · Orem, UT · CCN 460052

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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 IDStateProvider typePAC IDDetails
I20140625002473 UT Practitioner - Family Practice 4587808506 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
633NEMDAddiction (Substance Use Disorder) Counselor
5688NEMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current
since Jun 1, 2014
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
since Mar 1, 2020
Accepting new patients
Ihc Health Services, Inc. Current
since Jun 1, 2014
Accepting new patients
Ihc Health Services Inc Family Medicine Past
since Feb 7, 2021
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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address michael.healey@direct.imail.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2021.

{
    "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

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Sources for this page

Verify at the official NPI Registry.