Northeastern Utah Medical Group
NPI 1316316482 · Physician Assistant · Roosevelt, UT
Northeastern Utah Medical Group is a Physician Assistant organization in Roosevelt, UT (NPI 1316316482).
Provider details
- NPI number
- 1316316482
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Uintah Basin Medical Center
- Organization subpart
- Yes
- Authorized official
- James Marshal, Ceo(435) 722-6162
- License
- 6411766-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-09-18
- Last updated
- 2015-09-18
Frequently asked questions
- What is Northeastern Utah Medical Group's NPI number?
- Northeastern Utah Medical Group's National Provider Identifier (NPI) is 1316316482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Utah Medical Group?
- Northeastern Utah Medical Group is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Northeastern Utah Medical Group located?
- Northeastern Utah Medical Group's practice location on file with NPPES is 250 W 300 N, Roosevelt, UT 84066-2336.
- What is Northeastern Utah Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Utah Medical Group is (435) 722-4691.
- Who is the authorized official for Northeastern Utah Medical Group?
- The authorized official listed on Northeastern Utah Medical Group's NPPES record is James Marshal, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Utah Medical Group's NPI active?
- Yes — Northeastern Utah Medical Group's NPI (1316316482) is active in the NPPES registry as of the last update on 2015-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.