SMMG SATELLITE - MEDICAL ONCOLOGY MOAB - NPI 1649883547

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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About Smmg Satellite - Medical Oncology Moab NPPES

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

SMMG SATELLITE - MEDICAL ONCOLOGY MOAB (NPI 1649883547) is a healthcare organization registered as a hematology & oncology 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

NPI1649883547

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameINTERMOUNTAIN MEDICAL GROUP GRAND JUNCTION, LLC

Location Address450 WILLIAMS WAYMoab, UT 84532-2185

Mailing Address450 Williams WayMoab, UT 84532-2185 · (435) 719-3500 · Fax (435) 719-3529

Phone(435) 719-3500

Fax(435) 719-3529

Organization SubpartYesParent: Intermountain Front Range, Inc.

Authorized OfficialJon McdanielVp Finance Medical Group · (303) 272-0231

Enumeration DateAugust 28, 2020

Last NPPES UpdateJune 28, 20242 updates tracked since enumeration

NPPES CertifiedJune 28, 2024

✔ NPI 1649883547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

450 WILLIAMS WAY, Moab, UT 84532

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Other Names 1

Doing Business AsSmmg Satellite - Medical Oncology Moab

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 20

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

DEIDRE A FLANAGAN MD

Surgery

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3500

KIMBERLY FRANKE M.D.

Orthopaedic Surgery

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3500

PAUL MICHAEL JOHNSON M.D.

Family Medicine

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3500

MRS. GEORGIA RUSSELL APRN

Nurse Practitioner (Family)

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3510

MR. LUKE ALLAN COUNTERMAN PA-C

Physician Assistant

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3500

ANGELA ALEXANDER MD

Emergency Medicine

450 WILLIAMS WAY, MOAB REGIONAL HOSPITAL
MOAB, UT 84532

Grand County (435) 719-3500

MR. PAUL EDWARD KIONKA OT

Occupational Therapist (Neurorehabilitation)

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 259-3600

MS. HANNAH ELIZABETH RILEY PA-C, MPH

Physician Assistant

450 WILLIAMS WAY
MOAB, UT 84532

Grand County (435) 719-3500

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 1649883547. It was assigned to this organization in the NPPES registry on August 28, 2020. The provider is doing business as Smmg Satellite - Medical Oncology Moab.

Where is Intermountain Medical Group Grand Junction, LLC located?

Intermountain Medical Group Grand Junction, LLC is located at 450 Williams Way, Moab, UT 84532. The listed phone number is (435) 719-3500.

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

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

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.