AMANDA GOUGLER (NPI# 1346619285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346619285 |
| Entity Type | Individual |
| Full Name | AMANDA GOUGLER |
| Practice Address |
2240 Adams Ave Ogden UT 84401-1511 |
| Mailing Address |
950 N Cutler Dr Apt 631 North Salt Lake UT 84054-5066 |
| Practice Telephone | 8013935355 |
| Practice Fax Number | 8013944609 |
| Mailing Telephone | 8017252591 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2015-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | IN MAIL | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2240 ADAMS AVE |
| City | OGDEN |
| State | UT |
| Zip Code | 84401-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660864 | Angela Epstein | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2005-06-22 |
| 1376108381 | Vanessa Jones | Nurse Practitioner | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-05-06 |
| 1437713450 | Brock D Rose | Dentist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2019-04-25 |
| 1104365113 | Derek Petersen | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2017-02-23 |
| 1932650199 | Angeleena Harrison | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-10-21 |
| 1023465564 | Heather D Larson | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2016-05-13 |
| 1164825618 | Kathryn Evans | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-09-29 |
| 1427468248 | Jessica Griffin | Pharmacist | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-05-01 |
| 1679997779 | Joshua Tew | Physician Assistant | 2240 Adams Ave, Ogden, UT 84401-1511 | 2014-02-10 |
| 1063771475 | Sage Rylant Ukena | Nurse Practitioner | 2240 Adams Ave, Ogden, UT 84401-1511 | 2012-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376183558 | Vickie Fields | Counselor | 533 26th Street Ste 100, Ogden, UT 84401 | 2020-01-15 |
| 1063059939 | Gahc4 West Haven Ut Trs Sub, LLC | Assisted Living Facility | 3518 South 2625 West, West Haven, UT 84401 | 2019-12-10 |
| 1720631880 | Kelsey Askea | Student in an Organized Health Care Education/Training Program | 2261 Washington Blvd #102, Ogden, UT 84401 | 2019-07-18 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1689144248 | Crystal Hadley | Registered Nurse | 477 23rd Street, Ogden, UT 84401 | 2018-11-27 |
| 1336632215 | Michael David Leman | Registered Nurse | 1355 Hinckley Dr, Ogden, UT 84401 | 2018-06-14 |
| 1689926313 | Lotus Park Care Centers, LLC | Assisted Living Facility | 2639 W 3520 S, West Haven, UT 84401 | 2012-10-04 |
| 1770865776 | William M Gardiner | Social Worker | 2351 Grant, Suite 103, Ogden, UT 84401 | 2011-09-15 |
| 1043509888 | Absolute Vision | Optometrist | 4645 S. Midland Dr., Suite A, West Haven, UT 84401 | 2011-04-01 |
| 1629376496 | Chad Calkins | Counselor | 502 E 22nd St, Ogden, UT 84401 | 2011-03-03 |
| Find all providers in zip 84401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020830 | Abbey Coburn | Physician Assistant | 6028 S Ridgeline Dr Ste 200, Ogden, UT 84405-6906 | 2020-10-14 |
| 1578030078 | James A Hardy IIi | Physician Assistant | 1900 Washington Blvd Ste 104, Ogden, UT 84401-6850 | 2018-11-01 |
| 1902273311 | Austin Okelberry | Physician Assistant | 4403 Harrison Blvd Ste 2455, Ogden, UT 84403-3330 | 2015-09-01 |
| 1114321361 | Mckel Anne Roskelley | Physician Assistant | 1355 W 3400 S, Ogden, UT 84401-3376 | 2014-10-17 |
| 1942450580 | Jonathan Winkfield | Physician Assistant | 6028 S Ridgeline Dr Ste 201, Ogden, UT 84405-6908 | 2008-09-19 |
| 1609039825 | Kyle Marlin Hoffmann | Physician Assistant | 735 N 950 E, Ogden, UT 84404-3885 | 2008-07-08 |
| 1851480982 | Billi Tsuya | Physician Assistant | 150 N Washington Blvd, Ogden, UT 84404-4074 | 2006-10-12 |
| 1205923760 | Craig Pulley | Physician Assistant | 4403 Harrison Blvd Ste 2400, Ogden, UT 84403-3297 | 2006-10-06 |
| 1437246998 | Scott D Ford | Physician Assistant | 5957 South Fashion Point Drive, Ogden, UT 84403 | 2006-10-06 |
| 1033177837 | Christa M Black | Physician Assistant | 5825 Harrison Blvd, Ogden, UT 84403-4316 | 2006-05-02 |
| Find all providers in OGDEN | ||||
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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.