OrganizationActive
Canyon Medical Group LLC
NPI 1952599409 · Pediatrics Physician · Logan, UT
Provider details
- NPI number
- 1952599409
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Wimmer, Manager(435) 750-5599
- License
- 0708814 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
1624 N 200 E Ste 160
Logan, UT 84341-3175
Phone: (435) 750-5599
Fax: (435) 750-0861
Street-level locationGet directions
Mailing address
1624 N 200 E Ste 160
Logan, UT 84341-3175
Other names (DBA / former)
- Former legal business name
- Treehouse Pediatrics & Family Care LLC
Registry dates
- Enumerated
- 2007-10-10
- Last updated
- 2023-01-23
- Certified
- 2023-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.