Individual provider Active NPI

Kevin David Stringham, PA-C

  • Physician Assistant
  • Orem, UT
National Provider Identifier
1871274217
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11635877-1206 Issued in UT
Practice address
987 S Geneva Rd Ste 116
Orem, UT 84058-6085
Phone
(801) 863-7982
NPI assigned
Jul 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11635877-1206 UT Primary

Addresses

Primary practice location

987 S Geneva Rd Ste 116
Orem, UT 84058-6085

Mailing address

639 N Main St
Orem, UT 84057-3921
Phone (801) 787-0046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709003879 UT Practitioner - Physician Assistant 5092250548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Family MedicalGroup PAC ID 7416197785, 84 clinicians

Practice addresses (Care Compare)

226 N 1100
American Fork, UT 84003-2054
Phone (801) 855-3841

275 W 200
Lindon, UT 84042-5009
Phone (801) 796-1333

707 E Mill Rd
Suite 303
Vineyard, UT 84059-5730
Phone (801) 224-1300

830 N 2000
Pleasant Grove, UT 84062-4047
Phone (801) 756-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medical - Lindon Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Premier Family Medical - City Center Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Premier Family Medical - Saratoga Springs Family Medicine Past Accepting new patients
Premier Family Medical Family Medicine Past Accepting new patients

Locations

226 N 1100 E
American Fork, UT 84003
Phone (801) 855-3840

3943 E Pony Express Pkwy
Ste 120
Eagle Mountain, UT 84005
Phone (801) 443-1184

3000 N Triumph Blvd
Ste 220
Lehi, UT 84043
Phone (801) 642-2990

680 E Main St
Lehi, UT 84043
Phone (801) 766-0606

275 W 200 N
Lindon, UT 84042
Phone (801) 796-1333

830 N 2000 W
Pleasant Grv, UT 84062
Phone (801) 756-3511

62 E Thrive Dr
Ste 100
Saratoga Springs, UT 84045
Phone (801) 766-8427

707 E Mill Rd
Ste 303
Vineyard, UT 84059
Phone (801) 224-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1871274217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 N MAIN ST",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840573921",
            "telephone_number": "801-787-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "987 S GENEVA RD STE 116",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586085",
            "telephone_number": "801-863-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRINGHAM",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11635877-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orem, UT

Sources for this page

Verify at the official NPI Registry.