Gregory D Iverson, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

365 Issued in NE

Practice address

142 South 50 East
Coalville, UT 84107

Phone

(435) 336-4403

Fax

(435) 336-5570

NPI assigned

Apr 28, 2006

Last updated

May 4, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory Iverson Family Medicine, PLLCGroup PAC ID 4284804923, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Park City Hospital Hospital, Park City, UT, CCN 460057
• Intermountain Health Heber Valley Hospital Hospital, Heber City, UT, CCN 461307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: gregory.iverson.2@27548.direct.athenahealth.com

All facility ownership & control disclosures 2

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

Owned or controlled facilities with NPI records 2

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

• Gregory Iverson Family Medicine PLLC

  dba Coalville Health Center

  • Rural Health Clinic/Center
  • Coalville, UT
  • NPI 1720379936

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Gregory Iverson Family Medicine, PLLC

  dba Kamas Health Center

  • Rural Health Clinic/Center
  • Kamas, UT
  • NPI 1043501257

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Gregory Iverson Family Medicine PLLC

  dba Coalville Health Center

  • Rural Health Clinic/Center
  • Coalville, UT
  • NPI 1720379936
  Medicare reassignment Care Compare group Authorized official
• Gregory Iverson Family Medicine, PLLC

  dba Kamas Health Center

  • Rural Health Clinic/Center
  • Kamas, UT
  • NPI 1043501257
  Authorized official Same address or phone

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

• Ihc Health Services Inc

  dba Intermountain Health Heber Valley Hospital

  • Critical Access Hospital
  • Heber City, UT
  • NPI 1316055205
  Care Compare affiliation
• Ihc Health Services Inc

  dba Intermountain Health Park City Hospital

  • General Acute Care Hospital
  • Park City, UT
  • NPI 1851530984
  Care Compare affiliation

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1962469395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 865",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "840170865",
            "telephone_number": "435-336-4403",
            "fax_number": "435-336-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SOUTH 50 EAST",
            "city": "COALVILLE",
            "state": "UT",
            "postal_code": "84107",
            "telephone_number": "435-336-4403",
            "fax_number": "435-336-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "365",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7261660-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coalville Dental Care LLC
• Coalville Health Center (Kamas Health Center)
• Danielle Dekle
• Donald Wain Allen (Coalville Health Center)
• Gregory Iverson Family Medicine PLLC (Coalville Health Center)
• Victor Reed Judd, PHYSICAL THERAPIST
• Isaac Lord, PT
• Carolyn McQueen, LMT
• Cynthia Montana, MA CCC-SLP
• Jean Paskett, RN

• Family Medicine Physician in Coalville, UT
• Providers in Coalville, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.