NPIMap

Individual provider Active NPI

Eric M Hogenson, M.D.

  • Family Medicine Physician
  • Spanish Fork, UT
National Provider Identifier
1891740163
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
309193-1205 Issued in 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
Last updated
Aug 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 309193-1205 UT Primary

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 1

IdentifierTypeStateIssuer
D1371MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000282 UT Practitioner - Family Practice 7012812662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 9739084351, 30 clinicians

Practice addresses (Care Compare)

336 W 100
Spanish Fork, UT 84660-5881
Phone (801) 798-7301

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
309193-1205UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon View Medical Group LLC Family Medicine CurrentSince Jan 1, 1997 Accepting new patients
Canyon View Medical Group LLC Current Accepting new patients
Canyon View Medical Group LLC Family Medicine CurrentSince Jan 1, 1997 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

325 W Center St
Spanish Fork, UT 84660
Phone (801) 798-7301

336 W 100 S
Spanish Fork, UT 84660
Phone (385) 203-0246

Interoperability endpoints

  • Direct secure messaging: eric.hogenson.p1@direct.canyonviewmed.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maple Creek Home Health and HospiceSpanish Fork, UT, CCN 467326 Home health agency Corporate Officer (5%)
Corporate Director (5%)		 Aug 1, 2014
Aug 1, 2014
Maple Creek HospiceSpringville, UT, CCN 461592 Hospice Corporate Director
W-2 Managing Employee		 Oct 30, 2024
Oct 30, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1891740163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W CENTER ST",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602060",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 W 100 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846605881",
            "telephone_number": "801-798-7301",
            "fax_number": "801-798-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGENSON",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "309193-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1371",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanish Fork, UT

Sources for this page

Verify at the official NPI Registry.