OGDEN REG MED CNTR PROFESSIONAL BILLING LLC (NPI# 1457537250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457537250 |
| Entity Type | Organization |
| Organization Name | OGDEN REG MED CNTR PROFESSIONAL BILLING LLC |
| Practice Address |
5475 S 500 E Ogden UT 84405-6905 |
| Practice Telephone | 8014792468 |
| Practice Fax Number | 8014792936 |
| Mailing Telephone | 8014792468 |
| Mailing Fax Number | 8014792936 |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | BRYAN MCKINLEY (CFO) |
| Authorized Official Telephone | 8012687157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
5475 S 500 E |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598506 | Clayton A Bass | Emergency Medicine | 5475 S 500 E, Ogden, UT 84405-6905 | 2005-09-20 |
| 1083229504 | Peggy Maria Bodamer | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2020-09-11 |
| 1487277059 | Brady James Layton | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2020-05-18 |
| 1366077273 | Nph Anesthesia of Utah, LLC | Anesthesiology | 5475 S 500 E, Ogden, UT 84405-6905 | 2020-03-11 |
| 1871094177 | Brittney Kimiko Taylor | Physician Assistant | 5475 S 500 E, Ogden, UT 84405-6905 | 2018-02-22 |
| 1346667235 | Trent Suggs | Psychiatry & Neurology | 5475 S 500 E, Ogden, UT 84405-6905 | 2014-03-28 |
| 1538506472 | Amber Nicole Mackey Wilson | Psychiatry & Neurology | 5475 S 500 E, Ogden, UT 84405-6905 | 2013-06-02 |
| 1215235965 | David Whitney Stanley | Hospitalist | 5475 S 500 E, Ogden, UT 84405-6905 | 2011-03-04 |
| 1356642094 | Emmalee Thompson | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2010-11-11 |
| 1790094902 | Kris Morris | Registered Nurse | 5475 S 500 E, Ogden, UT 84405-6905 | 2010-10-05 |
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| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427233402 | Richard White | Internal Medicine | 5028 Skyline Dr, Ogden, UT 84403-1423 | 2008-01-08 |
| 1427237007 | Saima Husain | Internal Medicine | 4403 Harrison Blvd Ste 3430, Ogden, UT 84403 | 2007-10-30 |
| 1114969433 | Ishtiaque Hossain Mohiuddin | Internal Medicine | 5405 S 500 E Ste 204, Ogden, UT 84405-7420 | 2006-06-12 |
| 1326043472 | Dan Dan | Internal Medicine | 4403 Harrison Blvd Ste 3450, Ogden, UT 84403 | 2005-06-16 |
| 1992196968 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd, Ste 3430, Ogden, UT 84403-3271 | 2015-02-12 |
| 1174829139 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd, Ste 3400, Ogden, UT 84403-3281 | 2011-02-08 |
| 1457662587 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd Ste 3450, Ogden, UT 84403-3282 | 2010-06-23 |
| 1598994659 | Shyla Narasimhan Sachdev | Internal Medicine | 5405 S 500 E Ste 204, Ogden, UT 84405 | 2009-07-10 |
| 1982844098 | Peter George Forstall | Internal Medicine | 5405 S 500 E, Suite 204, Ogden, UT 84405-6957 | 2009-03-02 |
| 1700099983 | Yuri Khodakov | Internal Medicine | 4403 Harrison Blvd, Suite 3490, Ogden, UT 84403-3271 | 2007-05-07 |
| 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.