CANYON MEDICAL GROUP LLC
NPI 1952599409
Pediatrics in Logan, UT
NPI Status: Active since October 10, 2007
Contact Information
1624 N 200 E STE 160
LOGAN, UT
ZIP 84341
Phone: (435) 750-5599
Fax: (435) 750-0861
- Organization
- Pediatrics
- Accepts Insurance
About CANYON MEDICAL GROUP LLC
This page provides the complete NPI Profile along with additional information for Canyon Medical Group Llc, a pediatrician established in Logan, Utah operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1952599409 assigned on October 2007. The practitioner's primary taxonomy code is 208000000X with license number 0708814 (UT). The provider is registered as an organization and their NPI record was last updated 3 years ago. Canyon Medical Group Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Treehouse Pediatrics & Family Care Llc. The authorized official of this NPI record is Wendy Wimmer (Manager)
- NPI
- 1952599409
- Provider Legal Name
- CANYON MEDICAL GROUP LLC
- Other Organization Name
- TREEHOUSE PEDIATRICS & FAMILY CARE LLC
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 1624 N 200 E STE 160 LOGAN, UT 84341
- Location Phone
- (435) 750-5599
- Location Fax
- (435) 750-0861
- Mailing Address
- 1624 N 200 E STE 160 LOGAN, UT 84341
- Mailing Phone
- (435) 750-5599
- Mailing Fax
- (435) 750-0861
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-10-2007
- Last Update Date
- 01-23-2023
- Code Navigator
A pediatrician like Canyon Medical Group Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0708814
- License State
- UT
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528291883001 | MEDICAID (05) | UT |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1952599409, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1952599409, enumerated as an "organization" on October 10, 2007.
The provider is located at 1624 N 200 E STE 160 LOGAN, UT 84341 and the phone number is (435) 750-5599.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Molina Healthcare, University of Utah Health. Please consult your insurance carrier or call the provider to verify.
