Individual provider Active NPI

Stanton McDonald, M.D.

  • Family Medicine Physician
  • Heber City, UT
National Provider Identifier
1982636890
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
160908-1205 Issued in UT
Practice address
345 W 600 S Ste 120
Heber City, UT 84032-2283
Phone
(435) 654-1501
Fax
(435) 654-2030
NPI assigned
Jul 7, 2006
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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 160908-1205 UT Primary

Addresses

Primary practice location

345 W 600 S Ste 120
Heber City, UT 84032-2283

Mailing address

PO Box 247
Heber City, UT 84032-0247
Phone (435) 654-1501

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109001156 UT Practitioner - Family PracticePractitioner - General Practice 0749208593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Utah School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

345 W 600
Suite 120
Heber City, UT 84032-2283
Phone (435) 654-1501

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions90
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Oct 15, 2009 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Oct 15, 2009 Accepting new patients
Stanton McDonald, MD PC Family Medicine CurrentSince Feb 1, 2008 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Applegate Homecare & Hospice, LLC Family Medicine PastSince Feb 1, 2008 Accepting new patients

Locations

345 W 600 S
Ste 120
Heber City, UT 84032
Phone (435) 654-1501

35 S 5th E
Heber City, UT 84032
Phone (435) 654-1501

454 E Medical Way
Heber City, UT 84032
Phone (435) 654-2500

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 6

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 1

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1982636890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840320247",
            "telephone_number": "435-654-1501",
            "fax_number": "435-654-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W 600 S STE 120",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840322283",
            "telephone_number": "435-654-1501",
            "fax_number": "435-654-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "STANTON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "160908-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

Verify at the official NPI Registry.