Canyon Medical Group LLC
NPI 1952599409 · Pediatrics Physician · Logan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Canyon Medical Group LLC is a Pediatrics Physician organization in Logan, UT (NPI 1952599409).
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
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
Mailing address
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
Frequently asked questions
- What is Canyon Medical Group LLC's NPI number?
- Canyon Medical Group LLC's National Provider Identifier (NPI) is 1952599409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Canyon Medical Group LLC?
- Canyon Medical Group LLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Canyon Medical Group LLC located?
- Canyon Medical Group LLC's practice location on file with NPPES is 1624 N 200 E Ste 160, Logan, UT 84341-3175.
- What is Canyon Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Canyon Medical Group LLC is (435) 750-5599.
- Does Canyon Medical Group LLC accept Medicare?
- Canyon Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Canyon Medical Group LLC?
- The authorized official listed on Canyon Medical Group LLC'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 LLC's NPI active?
- Yes — Canyon Medical Group LLC's NPI (1952599409) is active in the NPPES registry as of the last update on 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.