NORMAN O WAHLSTROM JR. (NPI# 1285686436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285686436 |
| Entity Type | Individual |
| Full Name | NORMAN O WAHLSTROM JR. |
| Credential | MD |
| Practice Address |
5475 South 500 East Ogden UT 84405 |
| Mailing Address |
Po Box 727 Brigham City UT 84302-0727 |
| Practice Telephone | 8014792392 |
| Practice Fax Number | 8014792396 |
| Mailing Telephone | 4357340101 |
| Mailing Fax Number | 4357340103 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
1669681205 | UT | Allopathic & Osteopathic Physicians |
| X | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
1669681205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
5475 SOUTH 500 EAST |
| City | OGDEN |
| State | UT |
| Zip Code | 84405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044369 | Andrew David Simmons | Pediatrics | 5475 South 500 East, Ogden, UT 84405 | 2005-12-22 |
| 1639354897 | Melissa J Bentley | Internal Medicine | 5475 South 500 East, Hospitalist Office, Ogden, UT 84405-6978 | 2008-01-07 |
| 1891747630 | James F Lombardo | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| 1922050764 | David Scott Steiner | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| 1912959792 | David F Degener | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538142922 | Paul S Thorpe | Pathology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2005-11-21 |
| 1437303914 | Randy Don Lamb | Pathology | 4401 Harrison Blvd, Ogden, UT 84403 | 2008-11-10 |
| 1114133584 | Skylar Alsop | Pathology | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2007-05-15 |
| 1902022536 | Val B Johnson | Pathology | 5475 S 500 E, Ogden, UT 84405-6905 | 2007-04-18 |
| 1326090465 | Mark Douglas Orton | Pathology | 5475 S 500 E, Ogden, UT 84405-6905 | 2006-05-17 |
| 1891747630 | James F Lombardo | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| 1922050764 | David Scott Steiner | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| 1912959792 | David F Degener | Pathology | 5475 South 500 East, Ogden, UT 84405 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659746535 | Lmd Path, Inc | Pathology | 1018 S 350 E, Provo, UT 84606-6152 | 2015-12-03 |
| 1376970772 | Pathology Services of Utah | Pathology | 400 E 1600 S, Mapleton, UT 84664-5205 | 2013-09-30 |
| 1962842864 | Matthew Scott Johnson | Pathology | 2000 Circle of Hope Dr Rm N3100, Salt Lake City, UT 84112-5550 | 2013-06-25 |
| 1578852661 | Jolanta Jedrzkiewicz | Pathology | 434 2nd Ave Apt 4, Salt Lake City, UT 84103-5623 | 2011-03-30 |
| 1861714768 | Mtd Medical Services, LLC | Pathology | 290 N Red Slide Dr, Wellsville, UT 84339-9757 | 2010-02-18 |
| 1891922951 | Thomas Cary Wilson | Pathology | 5330 S 900 E Ste 120, Salt Lake City, UT 84117-3504 | 2009-06-16 |
| 1780822809 | Dana Claire Gingell | Pathology | 1372 S 300 E, Salt Lake City, UT 84115-1502 | 2009-01-27 |
| 1639315070 | Benjamin Lloyd Witt | Pathology | University of Utah 50 N Medical Dr, Department of Pathology, Salt Lake City, UT 84132-0001 | 2009-01-06 |
| 1619130036 | Jeremy Wallentine | Pathology | 2913 Garden Meadows Cv, Slc, UT 84106-1302 | 2008-07-07 |
| 1164683959 | Jessica Comstock | Pathology | 100 N Mario Cappechi Dr, Primary Childrens Medical Center Dept of Pathology, Salt Lake City, UT 84113 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NORMAN O WAHLSTROM JR..
| 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.