Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeastern Utah Medical Group

Organization Physician Assistant · NPI 1316316482

Northeastern Utah Medical Group is a Physician Assistant in Roosevelt, Utah. Medicare rates this hospital 2 out of 5. Licensed in Utah.

CMS rating
2 of 5
Licensed in
UT
In the registry since
2015

CMS quality rating

2 out of 5 — official hospital rating from CMS Care Compare (CCN 460019)

Practice location Address checks out

250 W 300 N
Roosevelt, UT 84066-2336
Phone: (435) 722-4691
Fax: (435) 722-9291
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6411766-1206 (UT)

Record details

NPI number1316316482
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUintah Basin Medical Center
Authorized official James Marshal — Ceo · (435) 722-6162
NPI enumeratedSeptember 18, 2015
Last updated in NPPESSeptember 18, 2015
Mailing address250 W 300 N, Roosevelt, UT 84066-2336

Other providers in Roosevelt