Active NPI
Ronald J Payne, M.O.
- Internal Medicine Physician
- North Logan, UT
National Provider Identifier
1669747804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158936-1205
- Practice address
- 1726 North 1850 East
North Logan, UT 84341 - Phone
- (435) 753-4971
- NPI assigned
- Mar 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 158936-1205 | UT | Primary |
Addresses
Primary practice location
1726 North 1850 East
North Logan, UT 84341
Mailing address
1726 North 1850 East
North Logan, UT 84341
Phone (435) 753-4971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 158936-1205 | UT | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1669747804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1726 NORTH 1850 EAST",
"city": "NORTH LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-753-4971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1726 NORTH 1850 EAST",
"city": "NORTH LOGAN",
"state": "UT",
"postal_code": "84341",
"telephone_number": "435-753-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "RONALD",
"middle_name": "J",
"credential": "M.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "UT",
"license": "158936-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Logan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.