IMPACT PHYSICIAN GROUP, LLC
NPI 1366262487
Internal Medicine in South Ogden, UT

Active since October 14, 2024
5825 HARRISON BLVD, SOUTH OGDEN, UT 84403(801) 475-5254 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Impact Physician Group, Llc NPPES

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

IMPACT PHYSICIAN GROUP, LLC (NPI 1366262487) is a healthcare organization registered as an internal medicine in South Ogden, Utah and active in the NPI registry since October 2024. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366262487
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, LLC
Location Address5825 HARRISON BLVDSouth Ogden, UT 84403-4316
Mailing AddressPo Box 744577Atlanta, GA 30374-4577 · Fax (844) 440-2328
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1366262487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5825 HARRISON BLVD, South Ogden, UT 84403

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 5

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

Physical Medicine & Rehabilitation
5825 HARRISON BLVD
OGDEN, UT 84403
Rehabilitation Hospital
5825 HARRISON BLVD
SOUTH OGDEN, UT 84403
Physical Medicine & Rehabilitation
5825 HARRISON BLVD
OGDEN, UT 84403
Speech-Language Pathologist
5825 HARRISON BLVD
SOUTH OGDEN, UT 84403
Physical Medicine & Rehabilitation
5825 HARRISON BLVD
SOUTH OGDEN, UT 84403

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 Impact Physician Group, LLC's NPI number?

The NPI number for Impact Physician Group, LLC is 1366262487. It was assigned to this organization in the NPPES registry on October 14, 2024.

Where is Impact Physician Group, LLC located?

Impact Physician Group, LLC is located at 5825 Harrison Blvd, South Ogden, UT 84403. The listed phone number is (801) 475-5254.

What is Impact Physician Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, LLC was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.