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CANYON MEDICAL GROUP LLC
NPI 1952599409
Pediatrics in Logan, UT

Active since October 10, 2007
1624 N 200 E STE 160, LOGAN, UT 84341(435) 750-5599(435) 750-0861 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 23, 2023, Jan 16, 2023, Feb 16, 2022 (3 updates tracked since 2022).

About Canyon Medical Group Llc NPPES

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

CANYON MEDICAL GROUP LLC (NPI 1952599409), doing business as Treehouse Pediatrics & Family Care Llc, is a healthcare organization registered as a pediatrics in Logan, Utah and active in the NPI registry since October 2007. The organization lists Wendy Wimmer, Manager, as its authorized official.

NPPES Registry Identity

NPI1952599409
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCANYON MEDICAL GROUP LLC
Location Address1624 N 200 E STE 160Logan, UT 84341-3175
Mailing Address1624 N 200 E Ste 160Logan, UT 84341-3175 · (435) 750-5599 · Fax (435) 750-0861
Phone(435) 750-5599
Fax(435) 750-0861
Organization SubpartNo
Authorized OfficialWendy WimmerManager · (435) 750-5599
Enumeration DateOctober 10, 2007
Last NPPES UpdateJanuary 23, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1952599409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in UT · 0708814
Definition
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.
1624 N 200 E STE 160, Logan, UT 84341
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Other Names 1

Former Legal Business NameTreehouse Pediatrics & Family Care Llc

Other Identifiers 1

Medicaid528291883001UT

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, University of Utah Health Plans.Insurance ›

Other Providers at the Same Location NPPES 3

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

MADISON KALEI CUTLER PA
Physician Assistant
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599
CRYSTAL ANNE BURTIS PHYSICIAN ASSISTANT
Physician Assistant
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599
ROBERT DUNCAN
Pediatrics
1624 N 200 E STE 160
LOGAN, UT 84341
Cache County (435) 750-5599

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 Canyon Medical Group LLC's NPI number?

The NPI number for Canyon Medical Group LLC is 1952599409. It was assigned to this organization in the NPPES registry on October 10, 2007. The provider was formerly known as Treehouse Pediatrics & Family Care LLC.

Where is Canyon Medical Group LLC located?

Canyon Medical Group LLC is located at 1624 N 200 E Ste 160, Logan, UT 84341. The listed phone number is (435) 750-5599.

What is Canyon Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Canyon Medical Group LLC accept?

Health plans from Molina Healthcare and University of Utah Health Plans list Canyon Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Canyon Medical Group LLC was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.