ELK RIDGE FAMILY PRACTICE PC
NPI 1356519656
Family Medicine in Payson, UT

Active since February 20, 2008
1172 E 100 N STE 11, PAYSON, UT 84651(801) 465-6100(801) 465-6114 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elk Ridge Family Practice Pc NPPES

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

ELK RIDGE FAMILY PRACTICE PC (NPI 1356519656) is a healthcare organization registered as a family medicine in Payson, Utah and active in the NPI registry since February 2008. The organization lists Dennis Michael Concoby, President, as its authorized official.

NPPES Registry Identity

NPI1356519656
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELK RIDGE FAMILY PRACTICE PC
Location Address1172 E 100 N STE 11Payson, UT 84651-1668
Mailing Address1172 E 100 N Ste 11Payson, UT 84651-1668 · (801) 465-6100 · Fax (801) 465-6114
Fax(801) 465-6114
Organization SubpartNo
Authorized OfficialDennis Michael ConcobyPresident · (801) 465-6100
Enumeration DateFebruary 20, 2008
Last NPPES UpdateNovember 1, 2012
NPI 1356519656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in UT · 5656211-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1172 E 100 N STE 11, Payson, UT 84651

Other Identifiers 2

Medicare PIN000054924UT
Medicaid530117654001UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Elk Ridge Family Practice PC's NPI number?

The NPI number for Elk Ridge Family Practice PC is 1356519656. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Elk Ridge Family Practice PC located?

Elk Ridge Family Practice PC is located at 1172 E 100 N Ste 11, Payson, UT 84651. The listed phone number is (801) 465-6100.

What is Elk Ridge Family Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Elk Ridge Family Practice PC was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.