MAPLE MOUNTAIN MEDICAL LLC – Family Medicine Physician, NPI 1629816228

MAPLE MOUNTAIN MEDICAL LLC is a healthcare provider. based in Mapleton, Utah. specializing in Family Medicine Physician. The NPI Number for MAPLE MOUNTAIN MEDICAL LLC is 1629816228

Main info

Organization
Name
MAPLE MOUNTAIN MEDICAL LLC
NPI
1629816228
Phone
(801) 515-6048
Address
724 S 1600 W
Authorized Official
MICHAEL JOHNSON CEO
Enumeration Date
17 July 2024
Last Update Date
17 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for MAPLE MOUNTAIN MEDICAL LLC

  • 724 S 1600 W

    MAPLETON, UT 846644347

    Phone: (801) 515-6048

    Fax: (855) 848-5748

    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.

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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.

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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 84664)

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Reviews

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Frequently asked questions

What is MAPLE MOUNTAIN MEDICAL LLC's NPI number?
MAPLE MOUNTAIN MEDICAL LLC's NPI is 1629816228 — the number used across U.S. healthcare to identify this provider.
Is MAPLE MOUNTAIN MEDICAL LLC still an active registrant?
MAPLE MOUNTAIN MEDICAL LLC carries an active NPI according to the public dataset.
What area of care is associated with MAPLE MOUNTAIN MEDICAL LLC?
MAPLE MOUNTAIN MEDICAL LLC's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MAPLE MOUNTAIN MEDICAL LLC located near Mapleton?
MAPLE MOUNTAIN MEDICAL LLC currently maps to Mapleton, Utah in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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