ELK RIDGE FAMILY PRACTICE PC – Family Medicine Physician, NPI 1356519656

ELK RIDGE FAMILY PRACTICE PC is a healthcare provider. based in Payson, Utah. specializing in Family Medicine Physician. The organization holds a License No. 5656211-1204 (UT). The NPI Number for ELK RIDGE FAMILY PRACTICE PC is 1356519656

Main info

Organization
Name
ELK RIDGE FAMILY PRACTICE PC
NPI
1356519656
Phone
(801) 465-6100
Address
1172 E 100 N STE 11
Authorized Official
DENNIS MICHAEL CONCOBY PRESIDENT D.O
Enumeration Date
20 February 2008
Last Update Date
1 November 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ELK RIDGE FAMILY PRACTICE PC

  • East 100 North, Payson, Utah County, Utah, 84651, United States

    PAYSON, UT 846511668

    Phone: (801) 465-6100

    Fax: (801) 465-6114

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84651)

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Reviews

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Frequently asked questions

What NPI should I save for ELK RIDGE FAMILY PRACTICE PC?
Save NPI 1356519656 if you need a stable reference for ELK RIDGE FAMILY PRACTICE PC.
Is ELK RIDGE FAMILY PRACTICE PC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELK RIDGE FAMILY PRACTICE PC work in?
You can think of ELK RIDGE FAMILY PRACTICE PC as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ELK RIDGE FAMILY PRACTICE PC?
We surface Payson, Utah for ELK RIDGE FAMILY PRACTICE PC based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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