OGDEN EAR NOSE & THROAT PC (NPI# 1467637926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467637926 |
Entity Type | Organization |
Organization Name | OGDEN EAR NOSE & THROAT PC |
Practice Address |
425 E 5350 S Suite 130 Ogden UT 84405-6946 |
Practice Telephone | 8014760342 |
Practice Fax Number | 8014769088 |
Mailing Telephone | 8014760342 |
Mailing Fax Number | 8014769088 |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |
Authorized Official Name | DR. DOUGLAS KENT ANDERSON (OWNER) |
Authorized Official Telephone | 8014760342 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | 952927061205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 528150997002 | 05 |
Street Address |
425 E 5350 S SUITE 130 |
City | OGDEN |
State | UT |
Zip Code | 84405-6946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770589145 | Susan C Hustad | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6990 | 2005-06-21 |
1477852994 | James W Starley Md A Professional Corporation | Specialist | 425 E 5350 S, 425, Ogden, UT 84405-6946 | 2011-03-23 |
1669643920 | Frank Tilaro Internal Medicine PC | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2008-03-14 |
1639350705 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 E 5350 S, Suite #350, Ogden, UT 84405-6946 | 2007-11-16 |
1205032190 | Seth R Lewis Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-26 |
1912102997 | Elena L Goncharova Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-19 |
1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
1447470893 | Susan C Hustad Md, PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-04-26 |
1720141435 | Lawrence Anthony Carcelli | Psychologist | 425 E 5350 S, 370, Ogden, UT 84405-6946 | 2006-12-18 |
1467514059 | James W Starley | Obstetrics & Gynecology | 425 E 5350 S, Ste 125, Ogden, UT 84405 | 2006-12-14 |
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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 | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619082799 | Ronald F Gordon | Otolaryngology | 3955 Harrison Blvd Ste U5, Ogden, UT 84403-2398 | 2006-08-20 |
1881622967 | Robert L. Moesinger, Md, A Professional Corp | Otolaryngology | 3955 Harrison Blvd Ste U6, Ogden, UT 84403-2399 | 2006-06-29 |
1588651152 | Nadim B Bikhazi | Otolaryngology | 4650 Harrison Blvd, Ogden, UT 84403-4303 | 2005-09-29 |
1730358573 | Stewart E. Barlow Md PC | Otolaryngology | 3955 Harrison Blvd, Ste U6, Ogden, UT 84403-2313 | 2008-02-26 |
1598892671 | Ihc Health Services Inc | Otolaryngology | 4403 Harrison Blvd, Suite 2645, Ogden, UT 84403-3271 | 2007-02-27 |
1790898807 | Douglas K Anderson | Otolaryngology | 4650 Harrison Blvd, Ogden, UT 84403-4303 | 2006-08-16 |
1336192566 | Michael Coleman Scheuller | Otolaryngology | 4403 Harrison Blvd, Ste 2645, Ogden, UT 84403-3271 | 2006-05-18 |
1710977848 | Stewart E Barlow | Otolaryngology | 3955 Harrison Blvd, Suite U6, Ogden, UT 84403-2313 | 2005-10-28 |
1154319473 | Robert Lionel Moesinger | Otolaryngology | 3955 Harrison Blvd, Ste U6, Ogden, UT 84403-2399 | 2005-10-11 |
1356338388 | John R Siddoway | Otolaryngology | 4650 Harrison Blvd, Ogden, UT 84403-4303 | 2005-10-04 |
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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.