Active NPI 1063475341 Individual Practitioner Female Practitioner

Dr. Yun Ling , MD

Internal Medicine • American Fork, UT

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Yun Ling, MD is a certified Internal Medicine practicing in American Fork, UT. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Ling delivers high-quality medical care to the local community at 1175 E 50 S.

Dr. Ling is affiliated with Revere Health Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1175 E 50 S
Suite 241

American Fork, UT 840030000

Telephone 8014925999

Fax 8014180897

Associated Practice Facility / Clinic

🏢 Central Utah Clinic, P.c. Facility NPI 1437205028

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in American Fork, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +2.9 yrs vs City Avg

City Avg: 24.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

8 Specialists

Practicing in American Fork, UT (700 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ling (27 Years) 27 Yrs

American Fork Specialty Average (24.1 Years) 24.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	507	164	$215.73	$121.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	352	145	$34.38	$15.69
36415 Insertion of needle into vein for collection of blood sample	219	148	$15.94	$8.61
83036 Hemoglobin A1C level	157	63	$21.00	$9.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	148	134	$13.93	$7.61
84443 Blood test, thyroid stimulating hormone (TSH)	147	123	$35.95	$16.46
84439 Thyroxine (thyroid chemical), free	146	122	$19.00	$8.84
80053 Blood test, comprehensive group of blood chemicals	141	133	$22.95	$10.35
80061 Blood test, lipids (cholesterol and triglycerides)	137	125	$28.00	$13.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	122	122	$191.00	$122.08
99213 Established patient office or other outpatient visit, typically 15 minutes	114	80	$152.66	$85.44
82607 Cyanocobalamin (vitamin B-12) level	77	75	$32.00	$14.78
G0008 Administration of influenza virus vaccine	60	60	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	59	59	$98.05	$81.65
82043 Urine microalbumin (protein) level	29	29	$13.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	29	29	$9.00	$5.08
80048 Blood test, basic group of blood chemicals (calcium, total)	26	18	$18.00	$8.29
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$39.00	$18.92
82306 Vitamin d-3 level	18	18	$62.00	$29.01
82728 Ferritin (blood protein) level	18	12	$29.00	$13.36
83540 Iron level	18	12	$14.00	$6.34
83550 Iron binding capacity	18	12	$19.00	$8.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	579	191	$211.72	$120.65
36415 Insertion of needle into vein for collection of blood sample	258	167	$14.55	$8.37
83036 Hemoglobin A1C level	176	69	$19.09	$9.25
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	172	150	$13.13	$7.61
80053 Blood test, comprehensive group of blood chemicals	168	153	$22.12	$10.30
84443 Blood test, thyroid stimulating hormone (TSH)	159	140	$35.11	$16.46
84439 Thyroxine (thyroid chemical), free	158	139	$19.00	$8.84
80061 Blood test, lipids (cholesterol and triglycerides)	149	133	$28.00	$13.06
99213 Established patient office or other outpatient visit, typically 15 minutes	120	84	$149.87	$85.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	116	116	$191.00	$121.50
82607 Cyanocobalamin (vitamin B-12) level	92	87	$32.00	$14.78
G0008 Administration of influenza virus vaccine	83	83	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	81	81	$101.00	$71.93
82306 Vitamin d-3 level	65	60	$62.00	$29.01
80048 Blood test, basic group of blood chemicals (calcium, total)	33	19	$18.00	$8.29
82043 Urine microalbumin (protein) level	28	28	$13.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	28	28	$9.00	$5.08
G0444 Annual depression screening, 5 to 15 minutes	28	28	$35.00	$17.34
84153 Psa (prostate specific antigen) measurement, total	19	17	$39.00	$18.02
83540 Iron level	18	11	$14.00	$6.34
83550 Iron binding capacity	18	11	$19.00	$8.57
82728 Ferritin (blood protein) level	18	11	$29.00	$13.36
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$39.00	$18.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$276.79	$158.72
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$406.85	$281.77
G0009 Administration of pneumococcal vaccine	13	13	$19.00	$18.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	523	191	$209.00	$122.51
36415 Insertion of needle into vein for collection of blood sample	255	176	$10.00	$2.95
80053 Blood test, comprehensive group of blood chemicals	185	162	$23.00	$10.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	178	160	$14.00	$7.67
84439 Thyroxine (thyroid chemical), free	177	156	$19.00	$8.91
84443 Blood test, thyroid stimulating hormone (TSH)	169	148	$36.00	$16.59
80061 Blood test, lipids (cholesterol and triglycerides)	169	158	$28.00	$13.22
82607 Cyanocobalamin (vitamin B-12) level	162	149	$32.00	$14.90
83036 Hemoglobin A1C level	150	63	$17.05	$9.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	133	133	$191.00	$124.76
99213 Established patient office or other outpatient visit, typically 15 minutes	97	71	$148.00	$86.26
82306 Vitamin d-3 level	89	79	$62.00	$29.24
90662 Influenza vaccine split virus, preservative free	82	81	$94.00	$68.48
G0008 Administration of influenza virus vaccine	82	81	$19.00	$18.62
G0444 Annual depression screening, 5 to 15 minutes	50	50	$35.00	$17.35
G0009 Administration of pneumococcal vaccine	31	30	$19.00	$18.72
80048 Blood test, basic group of blood chemicals (calcium, total)	24	19	$18.00	$8.34
84153 Psa (prostate specific antigen) measurement, total	19	18	$39.00	$18.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	15	$107.00	$50.45
82043 Urine microalbumin (protein) level	18	18	$13.00	$5.67
82570 Creatinine level to test for kidney function or muscle injury	18	18	$9.00	$5.09
G0103 Prostate cancer screening; prostate specific antigen test (psa)	17	17	$39.00	$19.01
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$381.00	$278.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$287.00	$161.25
82728 Ferritin (blood protein) level	16	13	$29.00	$13.41
83550 Iron binding capacity	16	13	$19.00	$8.60
83540 Iron level	16	13	$14.00	$6.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$182.00	$132.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	694	247	$207.05	$124.19
36415 Insertion of needle into vein for collection of blood sample	309	200	$10.00	$2.99
80061 Blood test, lipids (cholesterol and triglycerides)	199	172	$28.00	$13.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	199	180	$14.12	$7.77
84439 Thyroxine (thyroid chemical), free	188	168	$19.00	$8.97
84443 Blood test, thyroid stimulating hormone (TSH)	187	166	$36.00	$16.80
83036 Hemoglobin A1C level	185	85	$21.00	$9.51
82607 Cyanocobalamin (vitamin B-12) level	180	166	$32.00	$15.00
80053 Blood test, comprehensive group of blood chemicals	178	164	$23.00	$10.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$205.00	$127.70
99213 Established patient office or other outpatient visit, typically 15 minutes	147	109	$145.20	$88.23
G0008 Administration of influenza virus vaccine	99	99	$19.00	$15.99
90662 Influenza vaccine split virus, preservative free	98	98	$83.84	$64.55
82306 Vitamin d-3 level	96	86	$62.00	$29.29
G0009 Administration of pneumococcal vaccine	42	41	$19.00	$15.82
80048 Blood test, basic group of blood chemicals (calcium, total)	29	21	$18.00	$8.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$167.00	$125.40
90670 Pneumococcal vaccine for injection into muscle	20	20	$317.00	$228.19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$41.79	$18.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$281.00	$162.55
84153 Psa (prostate specific antigen) measurement, total	16	12	$39.00	$18.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	971	288	$195.67	$104.94
36415 Insertion of needle into vein for collection of blood sample	406	236	$10.00	$2.97
84439 Thyroxine (thyroid chemical), free	270	219	$18.90	$8.93
84443 Blood test, thyroid stimulating hormone (TSH)	268	217	$35.91	$16.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	263	223	$15.91	$7.72
99213 Established patient office or other outpatient visit, typically 15 minutes	243	163	$134.51	$72.53
80053 Blood test, comprehensive group of blood chemicals	238	218	$22.93	$10.51
80061 Blood test, lipids (cholesterol and triglycerides)	238	206	$28.00	$13.20
83036 Hemoglobin A1C level	236	98	$20.92	$9.59
82607 Cyanocobalamin (vitamin B-12) level	227	216	$31.91	$15.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	185	185	$210.97	$112.04
82306 Vitamin d-3 level	172	156	$62.00	$29.40
G0008 Administration of influenza virus vaccine	105	100	$19.00	$16.21
90662 Influenza vaccine split virus, preservative free	80	78	$68.00	$60.75
85610 Blood test, clotting time	52	14	$8.94	$4.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	11	$42.91	$13.71
80048 Blood test, basic group of blood chemicals (calcium, total)	43	29	$18.00	$8.39
G0009 Administration of pneumococcal vaccine	37	35	$19.00	$16.19
90682 Influenza vaccine, quadrivalent derived from recombinant dna	28	27	$68.00	$58.37
90670 Pneumococcal vaccine for injection into muscle	27	25	$260.00	$228.72
83540 Iron level	24	17	$14.00	$6.42
83550 Iron binding capacity	24	17	$18.83	$8.67
82728 Ferritin (blood protein) level	23	16	$28.83	$13.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$296.00	$154.43
81002 Urinalysis, manual test	20	12	$6.95	$3.44
85652 Red blood cell sedimentation rate, to detect inflammation, automated	20	13	$6.00	$2.69
84153 Psa (prostate specific antigen) measurement, total	16	15	$38.94	$18.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$106.79	$51.63
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$44.00	$19.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,169	322	$181.85	$106.37
36415 Insertion of needle into vein for collection of blood sample	491	277	$10.00	$2.93
84439 Thyroxine (thyroid chemical), free	315	256	$18.08	$9.75
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	309	251	$15.07	$8.44
84443 Blood test, thyroid stimulating hormone (TSH)	302	245	$35.00	$18.25
83036 Hemoglobin A1C level	290	110	$20.00	$10.53
80061 Blood test, lipids (cholesterol and triglycerides)	273	235	$28.00	$14.48
80053 Blood test, comprehensive group of blood chemicals	269	241	$22.00	$11.48
82607 Cyanocobalamin (vitamin B-12) level	263	240	$31.09	$16.26
82306 Vitamin d-3 level	219	192	$62.00	$31.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	202	202	$206.00	$114.07
G0008 Administration of influenza virus vaccine	133	133	$19.00	$15.91
90662 Influenza vaccine split virus, preservative free	117	117	$65.00	$54.89
99213 Established patient office or other outpatient visit, typically 15 minutes	115	104	$122.92	$72.85
80048 Blood test, basic group of blood chemicals (calcium, total)	54	38	$18.00	$9.21
85610 Blood test, clotting time	43	12	$8.00	$4.28
G0009 Administration of pneumococcal vaccine	37	36	$19.46	$15.91
83540 Iron level	36	21	$14.00	$7.05
90670 Pneumococcal vaccine for injection into muscle	36	35	$247.58	$209.63
83550 Iron binding capacity	36	21	$18.00	$9.52
82728 Ferritin (blood protein) level	33	20	$28.09	$14.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$279.61	$158.37
G0103 Prostate cancer screening; prostate specific antigen test (psa)	25	25	$43.96	$20.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$106.00	$52.20
84153 Psa (prostate specific antigen) measurement, total	18	15	$38.28	$20.03
81002 Urinalysis, manual test	17	14	$6.00	$3.41
90682 Influenza vaccine, quadrivalent derived from recombinant dna	15	15	$65.00	$54.89
84154 Psa (prostate specific antigen) measurement, free	14	12	$38.00	$20.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$310.00	$160.80
80076 Liver function blood test panel	12	11	$17.00	$8.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,139	317	$180.00	$104.15
36415 Insertion of needle into vein for collection of blood sample	460	274	$10.00	$2.94
84439 Thyroxine (thyroid chemical), free	297	245	$19.00	$10.91
84443 Blood test, thyroid stimulating hormone (TSH)	289	238	$35.00	$20.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	286	241	$16.00	$9.40
83036 Hemoglobin A1C level	277	115	$20.00	$11.72
80061 Blood test, lipids (cholesterol and triglycerides)	265	226	$28.00	$16.20
80053 Blood test, comprehensive group of blood chemicals	264	236	$22.00	$12.78
82607 Cyanocobalamin (vitamin B-12) level	261	227	$32.00	$18.24
82306 Vitamin d-3 level	206	175	$62.00	$35.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	180	180	$206.00	$112.83
90670 Pneumococcal vaccine for injection into muscle	150	146	$233.00	$200.77
G0009 Administration of pneumococcal vaccine	145	141	$36.03	$19.49
G0008 Administration of influenza virus vaccine	135	134	$36.00	$19.49
90662 Influenza vaccine split virus, preservative free	128	127	$56.00	$52.27
99213 Established patient office or other outpatient visit, typically 15 minutes	99	77	$122.00	$70.48
85610 Blood test, clotting time	51	15	$8.00	$4.75
83540 Iron level	43	22	$14.00	$7.83
83550 Iron binding capacity	41	21	$18.00	$10.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$276.00	$161.58
82728 Ferritin (blood protein) level	37	20	$29.00	$16.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$310.00	$166.82
81002 Urinalysis, manual test	33	28	$6.00	$3.41
80048 Blood test, basic group of blood chemicals (calcium, total)	30	22	$18.00	$10.23
G0103 Prostate cancer screening; prostate specific antigen test (psa)	23	23	$43.09	$22.26
84153 Psa (prostate specific antigen) measurement, total	20	15	$42.60	$22.26
82947 Blood glucose (sugar) level	19	15	$8.00	$4.75
80076 Liver function blood test panel	15	13	$17.00	$9.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	11	$106.00	$52.06
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	12	12	$81.00	$35.64
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	11	11	$323.00	$143.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,113	319	$170.00	$103.50
36415 Insertion of needle into vein for collection of blood sample	554	284	$10.00	$2.94
84439 Thyroxine (thyroid chemical), free	338	253	$20.00	$11.72
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	310	246	$12.00	$7.11
84443 Blood test, thyroid stimulating hormone (TSH)	309	234	$39.00	$22.59
80061 Blood test, lipids (cholesterol and triglycerides)	286	238	$31.00	$14.79
83036 Hemoglobin A1C level	284	107	$22.00	$13.01
80053 Blood test, comprehensive group of blood chemicals	281	245	$24.00	$11.64
82306 Vitamin d-3 level	188	159	$69.00	$39.80
82607 Cyanocobalamin (vitamin B-12) level	181	152	$35.00	$20.18
99213 Established patient office or other outpatient visit, typically 15 minutes	88	72	$116.00	$70.63
80048 Blood test, basic group of blood chemicals (calcium, total)	72	47	$20.00	$10.97
G0008 Administration of influenza virus vaccine	64	64	$19.00	$18.62
90662 Influenza vaccine split virus, preservative free	56	56	$48.00	$47.04
85610 Blood test, clotting time	51	18	$9.00	$5.28
83550 Iron binding capacity	38	24	$20.00	$11.75
83540 Iron level	38	24	$15.00	$8.70
G0103 Prostate cancer screening; prostate specific antigen test (psa)	38	38	$43.00	$24.73
82728 Ferritin (blood protein) level	37	24	$32.00	$18.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$262.00	$160.14
81002 Urinalysis, manual test	19	16	$6.00	$3.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$234.00	$111.51
17110 Destruction of up to 14 skin growths	14	11	$179.00	$97.77
85652 Red blood cell sedimentation rate, to detect inflammation, automated	13	11	$6.00	$3.63

Medical Specialties & State Licenses

CMS Verified: 2020-02-05

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License UT 63647241205

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.

Hospital & Practice Group Affiliations

Revere Health Pc

1175 E 50, American Fork, UT 840032845

Phone: 8014180807

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Orrin Hansen , APRN

Nurse Practitioner - Family

NPI 1104916543

Advanced Practice Registered Nurse

Dr. Russell Beckstead , DO

Family Medicine

NPI 1609262492

Doctor of Osteopathic Medicine (D.O.)

Dr. Jason Huddleston , DO

Internal Medicine

NPI 1619908001

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1175 E 50 S, SUITE 241, AMERICAN FORK, UT 840030000 (Tel: 8014925999)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548215)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as YUN LING, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Internal Medicine (License #63647241205 in UT)

🟢

Initial NPI Registration & Enumeration April 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063475341

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 08, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548225

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.