OrganizationActive
Evan J Matheson
NPI 1760677686 · Clinic/Center · Provo, UT
Provider details
- NPI number
- 1760677686
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Evan Matheson, Owner(801) 375-9292
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
745 N 500 W # 200
Provo, UT 84601-1472
Phone: (801) 375-9292
Fax: (801) 375-9290
Street-level locationGet directions
Mailing address
745 N 500 W # 200
Provo, UT 84601-1472
Registry dates
- Enumerated
- 2007-09-13
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.