NORTHEASTERN UTAH MEDICAL GROUP – NPI #1982664199
Family Medicine
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.
NORTHEASTERN UTAH MEDICAL GROUP is a provider located in ROOSEVELT, UT. NPPES has assigned the NPI number 1982664199 to NORTHEASTERN UTAH MEDICAL GROUP on March 23, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 8 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was last updated on Oct 23, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHEASTERN UTAH MEDICAL GROUP below.
NPI Profile for
NORTHEASTERN UTAH MEDICAL GROUP
(more than 20 years ago)
ROOSEVELT, UT 84066 Phone: (435) 722-3971 Fax: (435) 722-6104
8 Other location(s):
Altamont, UT 84001
Phone: (435) 454-3173
Fax: (435) 454-3990
Duchesne, UT 84021
Phone: (435) 738-2426
Fax: (435) 738-2845
Manila, UT 84046
Phone: (435) 784-3575
Fax: (435) 784-3505
Tabiona Clinic, UT 84072
Phone: (435) 848-5509
Fax: (435) 848-5507
Vernal, UT 84078
Phone: (435) 789-4489
Vernal, UT 84078-1956
Phone: (435) 781-2030
Vernal, UT 84078-1907
Phone: (435) 789-4691
Fax: (435) 722-9291
Vernal, UT 84078-1907
Phone: (435) 781-2030
ROOSEVELT, UT 84066-2336 Phone: (435) 722-3971 Fax: (435) 722-6104
CFO
Phone: (435) 722-6164
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for NORTHEASTERN UTAH MEDICAL GROUP
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | UT | 840276435084 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
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| 208600000X - Surgery |
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| 208100000X - Physical Medicine & Rehabilitation |
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| 208000000X - Pediatrics |
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| 207ZP0105X - Pathology / Clinical Pathology/Laboratory Medicine |
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| 207Y00000X - Otolaryngology |
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| 207X00000X - Orthopaedic Surgery |
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| 207W00000X - Ophthalmology |
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| 207V00000X - Obstetrics & Gynecology |
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| 207R00000X - Internal Medicine |
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| 207N00000X - Dermatology |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.