DR. SUSAN JESPERSEN AGRES (NPI# 1053560789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053560789 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JESPERSEN AGRES |
| Credential | DPM |
| Practice Address |
5275 Adams Ave Pkwy Suite A Ogden UT 84405-6748 |
| Mailing Address |
1322 32nd St Ogden UT 84403-0902 |
| Practice Telephone | 8014308406 |
| Mailing Telephone | 8014308406 |
| Mailing Fax Number | 8013936092 |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2015-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
7259622-0504 | UT | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N004009 | NY | Podiatric Medicine & Surgery Service Providers |
| Street Address |
5275 ADAMS AVE PKWY SUITE A |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811249725 | Amanda K James | Audiologist | 5275 Adams Ave Pkwy, Ste B, Ogden, UT 84405-6748 | 2012-10-03 |
| 1730431644 | Stephanie Kathleen Peart | Audiologist | 5275 Adams Ave Pkwy, Ste B, Ogden, UT 84405-6748 | 2012-10-03 |
| 1194076752 | Audiology Professionals Lc | Audiologist | 5275 Adams Ave Pkwy, Ste B, Ogden, UT 84405-6748 | 2012-09-24 |
| 1114224805 | Wasatch Podiatry Pllc | Podiatrist | 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 | 2011-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
| 1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
| 1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
| 1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
| 1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
| 1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
| 1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
| 1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
| 1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| 1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
| Find all providers in zip 84405 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648049 | Walk Perfect, Inc. | Podiatrist | 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 | 2017-09-25 |
| 1760664668 | Dr Lorell Fawson Dpm | Podiatrist | 3590 Harrison Blvd, Suite G1, Ogden, UT 84403-2060 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225104250 | Jack M Davis | Podiatrist | 2251 W 900 N, Farr West, UT 84404-9586 | 2006-11-28 |
| 1144267089 | Gary R Ridge | Podiatrist | 157 N 400 W, Orem, UT 84057-1909 | 2006-05-31 |
| 1023013794 | William Woodrow Martin | Podiatrist | 550 E 1400 N, Ste N, Logan, UT 84341-2450 | 2005-06-17 |
| 1730697897 | Final Kick Ankle and Foot Clinic LLC | Podiatrist | 476 Williams Way Ste B, Moab, UT 84532-2186 | 2018-01-11 |
| 1821492018 | Arches Family Foot Care LLC | Podiatrist | 65 East 100 North, Gunnison, UT 84634-0702 | 2014-10-16 |
| 1881945608 | Central Utah Foot Clinic, LLC | Podiatrist | 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 | 2012-09-20 |
| 1013007632 | Ryan Taylor Rushton | Podiatrist | 7495 S State St, Midvale, UT 84047-2013 | 2006-10-13 |
| 1841202397 | Stanley J Phillips | Podiatrist | 9690 S 1300 E, Suite 120, Sandy, UT 84094-3721 | 2006-08-13 |
| 1700816709 | Jon Randal Young | Podiatrist | 3336 Pioneer Pkwy, Ste 302, West Valley City, UT 84120-2000 | 2006-07-04 |
| 1881642676 | Trevor R Williams | Podiatrist | 1561 W 7000 S, Suite 100, West Jordan, UT 84084-3556 | 2006-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.