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MOAB NEUROLOGY SATELLITE CLINIC
NPI 1346854130
Internal Medicine - Hypertension Specialist in Moab, UT

Active since August 31, 2020
476 WILLIAMS WAY, MOAB, UT 84532(435) 719-5550(435) 719-5501 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 28, 2024, Aug 31, 2020 (2 updates tracked since 2020).

About Moab Neurology Satellite Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOAB NEUROLOGY SATELLITE CLINIC (NPI 1346854130) is a healthcare organization registered as a hypertension specialist in Moab, Utah and active in the NPI registry since August 2020. The organization lists Jon Mcdaniel, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1346854130
Entity TypeOrganization
Primary Taxonomy207RH0005X
Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC
Location Address476 WILLIAMS WAYMoab, UT 84532-2186
Mailing Address476 Williams WayMoab, UT 84532-2186 · (435) 719-5550 · Fax (435) 719-5501
Phone(435) 719-5550
Fax(435) 719-5501
Organization SubpartYesParent: Intermountain Front Range, Inc.
Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231
Enumeration DateAugust 31, 2020
Last NPPES UpdateJune 28, 20242 updates tracked since enumeration
NPPES CertifiedJune 28, 2024
✔ NPI 1346854130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hypertension SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207RH0005X
Definition
A Hypertension Specialist is a physician who concentrates on all aspects of the diagnosis and treatment of hypertension.
476 WILLIAMS WAY, Moab, UT 84532
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Other Names 1

Doing Business AsMoab Neurology Satellite Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY JOSEPH CRISTMAN PA-C
Physician Assistant
476 WILLIAMS WAY
MOAB, UT 84532
Grand County (435) 719-3500
KENNETH LEWIS WILLIAMS M.D.
Family Medicine
476 WILLIAMS WAY, STE A
MOAB, UT 84532
Grand County (435) 259-7121
MOAB VALLEY HEALTHCARE, INC.
Clinic/Center (Rural Health)
476 WILLIAMS WAY
MOAB, UT 84532
Grand County (435) 719-5550
DYLAN COLE D.O.
Family Medicine
476 WILLIAMS WAY, SUITE A
MOAB, UT 84532
Grand County (435) 259-7121
MOAB FAMILY MEDICINE PC
Family Medicine
476 WILLIAMS WAY, A
MOAB, UT 84532
Grand County (435) 259-7121
WHITNEY MACK
Family Medicine
476 WILLIAMS WAY
MOAB, UT 84532
Grand County (435) 719-3500
KATHERINE KALLMEYER WILLIAMS M.D.
Family Medicine
476 WILLIAMS WAY, STE A
MOAB, UT 84532
Grand County (435) 259-7121
MELINDA J STANFORD FNP
Nurse Practitioner
476 WILLIAMS WAY
MOAB, UT 84532
Grand County (435) 719-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intermountain Medical Group Grand Junction, LLC's NPI number?

The NPI number for Intermountain Medical Group Grand Junction, LLC is 1346854130. It was assigned to this organization in the NPPES registry on August 31, 2020. The provider is doing business as Moab Neurology Satellite Clinic.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 476 Williams Way, Moab, UT 84532. The listed phone number is (435) 719-5550.

What is Intermountain Medical Group Grand Junction, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hypertension Specialist, with taxonomy code 207RH0005X.

When was this NPI record last updated?

The NPPES record for Intermountain Medical Group Grand Junction, LLC was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.