Active NPI
Eric C Chenworth, DO
- Allergy & Immunology Physician
- Riverton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 7666176-1204
- Practice address
- 13348 S Market Center Dr
Ste 220
Riverton, UT 84065-8011 - Phone
- (385) 290-1289
- Fax
- (385) 290-1290
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 46865 | CO | |
| Internal Medicine Physician | 207R00000X | 46865 | CO | |
| Allergy & Immunology Physician | 207K00000X | 7666176-1204 | UT | Primary |
Addresses
Primary practice location
13348 S Market Center Dr
Ste 220
Riverton, UT 84065-8011
Mailing address
13348 S Market Center Dr Ste 220
Riverton, UT 84065-8011
Phone (385) 290-1289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32024738 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13348 S Market Ctr Dr
Suite 220
Riverton, UT 84065-8011
Phone (385) 290-1289
669 Agency Main St
Harlem, MT 59526-9455
Phone (406) 353-3919
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7666176-1204 | UT | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
453 Pine Grove Rd
Hays, MT 59527
Phone (406) 353-3190
Interoperability endpoints
- eric.chenworth.1@30338.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Wasatch Allergy and Asthma
- Allergy & Immunology Physician
- Riverton, UT
- NPI 1376887927
-
dba Eagle Child Health Center
- Critical Access Hospital Clinic/Center
- Hays, MT
- NPI 1174660245
-
dba Lodge Grass Clinic
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eagle Child Health Center
- Critical Access Hospital Clinic/Center
- Hays, MT
- NPI 1174660245
-
dba Fort Belknap Health Center
- Critical Access Hospital Clinic/Center
- Harlem, MT
- NPI 1942367842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1700859907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13348 S MARKET CENTER DR STE 220",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840658011",
"telephone_number": "385-290-1289",
"fax_number": "385-290-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13348 S MARKET CENTER DR",
"address_2": "STE 220",
"city": "RIVERTON",
"state": "UT",
"postal_code": "840658011",
"telephone_number": "385-290-1289",
"fax_number": "385-290-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENWORTH",
"first_name": "ERIC",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "CO",
"license": "46865",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "46865",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "UT",
"license": "7666176-1204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32024738",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.