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Northeastern Utah Medical Group

Physician Assistant in Roosevelt, UT · enumerated 2015 · authorized official James Marshal, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316316482

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Registry record

Entity type Organization (Type 2)
Legal business name Northeastern Utah Medical Group
Parent organization Uintah Basin Medical Center
Practice address 250 W 300 N, Roosevelt, UT, 84066
Fax (435) 722-9291
Enumeration date Sep 18, 2015
Last updated in NPPES Sep 18, 2015

Taxonomy & classification

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 6411766-1206 (UT) Primary

Authorized official

Name James Marshal
Title Ceo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Northeastern Utah Medical Group located?
The practice location on file with NPPES is in Roosevelt, UT.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-18.