OrganizationActive
Premier Family Medical - Eagle Mountain
NPI 1043762479 · Family Medicine Physician · Eagle Mountain, UT
Provider details
- NPI number
- 1043762479
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Premier Family Medical
- Organization subpart
- Yes
- Authorized official
- Heather Guymon, Credentialing Specialist(801) 769-2571
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3943 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5543
Phone: (801) 756-3511
Fax: (801) 756-1705
Street-level locationGet directions
Mailing address
3943 E Pony Express Pkwy Ste 120
Eagle Mountain, UT 84005-5543
Registry dates
- Enumerated
- 2016-11-02
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.