IMPACT PHYSICIAN GROUP, LLC – NPI #1366262487
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

IMPACT PHYSICIAN GROUP, LLC is a provider located in SOUTH OGDEN, UT. NPPES has assigned the NPI number 1366262487 to IMPACT PHYSICIAN GROUP, LLC on October 14, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

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 IMPACT PHYSICIAN GROUP, LLC below.

NPI Profile for
IMPACT PHYSICIAN GROUP, LLC

NPI Number
1366262487
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IMPACT PHYSICIAN GROUP, LLC
Primary location
5825 HARRISON BLVD
SOUTH OGDEN, UT 84403-4316
Phone: (801) 475-5254 Fax:
Mailing address
PO BOX 744577
ATLANTA, GA 30374-4577
Phone: Fax: (844) 440-2328
Organization Subpart
No
Authorized Official
PAUL MILLER
CEO
Phone: (678) 967-5599
Updated
Certification Date
Oct 14, 2024

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.

Taxonomy Code(s)

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
207R00000X
- Internal Medicine (Primary)

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.