DOUGLAS W HACKING (NPI# 1215904164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215904164 |
| Entity Type | Individual |
| Full Name | DOUGLAS W HACKING |
| Credential | M.D. |
| Practice Address |
171 N 400 W C-12 Orem UT 84057-1909 |
| Practice Telephone | 8012244550 |
| Practice Fax Number | 8012241057 |
| Mailing Telephone | 8012244550 |
| Mailing Fax Number | 8012241057 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1564891205 | UT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 04902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730688946 | Douglas Ray Hacking | Pharmacist | 12301 N May Ave, Oklahoma City, OK 73120-1943 | 2018-02-03 |
| Street Address |
171 N 400 W C-12 |
| City | OREM |
| State | UT |
| Zip Code | 84057-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073672135 | Jonathen Bartholomew | Pediatrics | 171 N 400 W, C12, Orem, UT 84057-1909 | 2006-12-06 |
| 1134196900 | Daniel G Simmons | Specialist | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-03-01 |
| 1811964695 | James Phillip Freestone | Pediatrics | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-03-01 |
| 1255308102 | John R Wynn | Pediatrics | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529932 | Jessica Chang | Social Worker | 870 W, Center, UT 84057 | 2020-08-21 |
| 1750991402 | Dr. Alexander B. Larsen Dds | Dentist | 385 W. Center Street, Orem, UT 84057 | 2020-08-07 |
| 1750911996 | Joanna Ramirez | Behavioral Analyst | 1443 West 800 North #103, Orem, UT 84057 | 2020-01-15 |
| 1790321842 | Nicole Rose Mcdougal | Speech-Language Pathologist | 527 400 N, Ste 2, Orem, UT 84057 | 2019-11-25 |
| 1871151837 | Robert B Fujiki | Speech-Language Pathologist | 1935 N90 W, Orem, UT 84057 | 2019-06-04 |
| 1669965562 | Brian Quigley Inc. | Hearing Instrument Specialist | 895 West Center Street, Orem, UT 84057 | 2018-06-14 |
| 1568960250 | Catherine Collins | Nurse Practitioner | 700 W. 800 N., Suite 220, Orem, UT 84057 | 2018-01-27 |
| 1821596073 | Venice Lucia Wilkes | Physician Assistant | 700 W 800 N # 220, Orem, UT 84057 | 2018-01-23 |
| 1851811160 | Jessie Carlson | Behavior Technician | 475 West 260 North, Orem, UT 84057 | 2017-06-27 |
| 1588013890 | Li Ping Su | Marriage & Family Therapist | 1027 W 1033 N, S108, Orem, UT 84057 | 2016-06-07 |
| Find all providers in zip 84057 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861813677 | Kerstine Hart | Specialist | 1379 S 740 E, Orem, UT 84097-8083 | 2013-12-20 |
| 1104983824 | Steven Little Merrill | Specialist | 421 N. Orem Blvd, Orem, UT 84057 | 2007-01-02 |
| 1649204033 | Henry Moyle Yeates | Specialist | 159 N 400 W, Suite B-8, Orem, UT 84057-1909 | 2006-07-10 |
| 1922099324 | Kraig Krueger Jenson | Specialist | 1385 E 750 N, Orem, UT 84097-5480 | 2005-11-03 |
| 1699215681 | Dave Ottesen | Specialist | 1875 S Geneva Rd, Orem, UT 84058 | 2017-02-24 |
| 1902951130 | Kraig Jenson PC | Specialist | 1385 E 750 N, Orem, UT 84097-5480 | 2007-01-25 |
| 1467532937 | Jon B Bishop Mdpc | Specialist | 700 W 800 N, Suite 442, Orem, UT 84057-6301 | 2006-10-17 |
| 1093761595 | Blair F Mcgirk | Specialist | 750 W 800 N, Orem, UT 84057-3660 | 2006-05-26 |
| 1134196900 | Daniel G Simmons | Specialist | 171 N 400 W, C-12, Orem, UT 84057-1909 | 2006-03-01 |
| 1013915867 | Eyre Dermatology Clinic, P.C. | Specialist | 486 W 800 N, Suite 201, Orem, UT 84057-3728 | 2005-07-13 |
| Find all providers in OREM | ||||
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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.