Eric M Hogenson, M.D.
Individual provider Active NPI Family Medicine Physician · Spanish Fork, UT
NPI 1891740163 · NPPES record last updated Aug 3, 2023
Key facts
- NPI
- 1891740163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 309193-1205 (UT)
- Practice address
- 336 W 100 S
Spanish Fork, UT 84660-5881 - Phone
- (801) 798-7301
- Fax
- (801) 798-8513
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Owned or controlled facilities with NPI records 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Canyon View Medical Group LLC
Practice addresses (Care Compare)
336 W 100
Spanish Fork, UT 84660-5881
Phone (801) 798-7301
Hospital & facility affiliations
- Canyon Home Care
- Maple Creek Hospice
- Mountain View Hospital
- Intermountain Health Spanish Fork Hospital
- Intermountain Health Utah Valley Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 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
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Maple Creek Home Health and Hospice |
Home health agency | Corporate Officer (5%) Corporate Director (5%) |
Aug 1, 2014 Aug 1, 2014 |
| Maple Creek Hospice |
Hospice | Corporate Director W-2 Managing Employee |
Oct 30, 2024 Oct 30, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100330000282 | UT | Practitioner - Family Practice | 7012812662 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Current | Accepting new patients | |
| Canyon View Medical Group LLC | Family Medicine | Current |
Accepting new patients |
| Canyon View Medical Group LLC | Family Medicine | Past | Accepting new patients |
Locations
591 N State Road 198
Ste 202
Salem, UT 84653
Phone (801) 465-9802
94 W Main St
Santaquin, UT 84655
Phone (801) 754-3122
336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246
325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301
Interoperability endpoints
- eric.hogenson.p1@direct.canyonviewmed.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 309193-1205 | UT | Yes |
Addresses
Primary practice location
336 W 100 S
Spanish Fork, UT 84660-5881
Mailing address
325 W Center St
Spanish Fork, UT 84660-2060
Phone (801) 798-7301
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1371 | Medicaid | UT |
Other providers in Spanish Fork, UT
- Lena Marie Hill
- Von O Hill
- Jenna Marie Hillman
- Hobble Creek Behavioral Health
- John Patrick Hoffmann
- David Payton Holt Jr.
- Shaylee Holyoak
- Nicole Marie Hood
- Samantha Howard
- Jessica Huffaker
All providers in Spanish Fork, 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 3, 2023. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.