OrganizationActive
Canyon Medical Group
NPI 1730764614 · Pediatrics Physician · Logan, UT
Canyon Medical Group is a Pediatrics Physician organization in Logan, UT (NPI 1730764614).
Provider details
- NPI number
- 1730764614
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Wimmer, Manager(435) 757-2009
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1325 N 600 E Ste 101
Logan, UT 84341-6743
Phone: (435) 750-5599
Fax: (435) 750-0861
Street-level locationGet directions
Mailing address
1325 N 600 E Ste 101
Logan, UT 84341-6743
Registry dates
- Enumerated
- 2021-03-12
- Last updated
- 2021-03-12
- Certified
- 2021-03-12
Frequently asked questions
- What is Canyon Medical Group's NPI number?
- Canyon Medical Group's National Provider Identifier (NPI) is 1730764614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Medical Group?
- Canyon Medical Group is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Medical Group located?
- Canyon Medical Group's practice location on file with NPPES is 1325 N 600 E Ste 101, Logan, UT 84341-6743.
- What is Canyon Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Canyon Medical Group is (435) 750-5599.
- Who is the authorized official for Canyon Medical Group?
- The authorized official listed on Canyon Medical Group's NPPES record is Wendy Wimmer, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Canyon Medical Group's NPI active?
- Yes — Canyon Medical Group's NPI (1730764614) is active in the NPPES registry as of the last update on 2021-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.