MMPS OGDEN (NPI# 1083654016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654016 |
| Entity Type | Organization |
| Organization Name | MMPS OGDEN |
| Practice Address |
1485 E Skyline Dr Ogden UT 84405-4837 |
| Practice Telephone | 8014754552 |
| Practice Fax Number | 8014754578 |
| Mailing Telephone | 8014754552 |
| Mailing Fax Number | 8014754578 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | MRS. JULIE PENROD (CEO) |
| Authorized Official Telephone | 8012841705 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
5032435-0160 | UT | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
5032435-0160 | UT | Ambulatory Health Care Facilities |
| Street Address |
1485 E SKYLINE DR |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-4837 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144758 | Us Sports Medicine, LLC | Clinic/Center | 729 King St Ste 100, Layton, UT 84041-4681 | 2020-11-03 |
| 1720588080 | Us Sports Medicine, LLC | Clinic/Center | 1982 W. Pleasant Grove Blvd, Suite L, Pleasant Grove, UT 84062 | 2018-02-13 |
| 1477086973 | Us Sports Medicine, LLC | Clinic/Center | 6030 Fashion Point Dr, South Ogden, UT 84403-4851 | 2017-04-11 |
| 1386026052 | Western Neurological Group | Clinic/Center | 10169 S 1160 W, South Jordan, UT 84095-8829 | 2015-06-18 |
| 1558314146 | Ihc Health Services, Inc | Clinic/Center | 674 S Highway 99, Fillmore, UT 84631-5013 | 2006-05-18 |
| 1891248936 | Sacred Circle Healthcare | Clinic/Center | 660 S 200 E, Ste 250, Salt Lake City, UT 84111-3835 | 2016-07-25 |
| 1699004499 | Tooele Valley Imaging, LLC | Clinic/Center | 2356 N 400 E, Suite 103, Tooele, UT 84074-3409 | 2009-12-08 |
| 1306076625 | Fort Duchesne Indian Health Center Radiology | Clinic/Center | 6822 East 1000 South, Fort Duchesne, UT 84026 | 2009-07-21 |
| 1679758296 | Avocet Medical Imaging Inc | Clinic/Center | 1930 S Highway 89, Perry, UT 84302-4119 | 2008-01-02 |
| 1174642102 | Central Utah Clinic, P.C. | Clinic/Center | 1490 E Foremaster Dr Bldg C, St George, UT 84790-4550 | 2007-03-29 |
| 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.