DR LORELL FAWSON DPM


Address: 3590 Harrison Blvd, Suite G1, Ogden, UT 84403-2060
Phone: 8016272122

DR LORELL FAWSON DPM (NPI# 1760664668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760664668
Entity Type Organization
Organization Name DR LORELL FAWSON DPM
Practice Address 3590 Harrison Blvd
Suite G1
Ogden
UT 84403-2060
Mailing Address 3590 Harrison Blvd Suite G-1
Ogden
UT 84403
Practice Telephone 8016272122
Practice Fax Number 8016272125
Mailing Telephone 8016272122
Mailing Fax Number 8016272125
Enumeration Date 2007-12-03
Last Update Date 2008-06-16
Authorized Official Name KATHY KERSKER (OFFICE MANAGER)
Authorized Official Telephone 8016272122
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 3590 HARRISON BLVD
SUITE G1
City OGDEN
State UT
Zip Code 84403-2060

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093791311 Chantel B Murrah Podiatrist 3590 Harrison Blvd, # G1, Ogden, UT 84403-2060 2005-12-19
1316360522 Chantel B. Murrah, Dpm. Phd Podiatrist 3590 Harrison Blvd, #g1, Ogden, UT 84403-2060 2014-01-23
1437401932 Steven Jones Wideman Podiatrist 3590 Harrison Blvd, #g-1, Ogden, UT 84403-2060 2012-10-08
1336434661 Jeffrey P Broadbent Dentist 3590 Harrison Blvd, Suite 5, Ogden, UT 84403-2060 2011-06-15
1427262666 John Robert Starley Dentist 3590 Harrison Blvd, #6, Ogden, UT 84403-2060 2007-05-09
1205049459 Michael William Broadbent Dentist 3590 Harrison Blvd, Suite #2, Ogden, UT 84403-2060 2007-05-07
1235341744 Lloyd V. Tilt, Dds,ms,pc Clinic/Center 3590 Harrison Blvd, Ste 3, Ogden, UT 84403-2403 2007-05-04
1538204318 David O Hendrickson Dentist 3590 Harrison Blvd, Suite 1, Ogden, UT 84403-2060 2007-02-20
1265582696 Aaron Ward Dentist 3590 Harrison Blvd, Suite 3, Ogden, UT 84403-2060 2007-01-10
1144200155 Lorell B Fawson Podiatrist 3590 Harrison Blvd, G1, Ogden, UT 84403 2006-01-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235744632 Megan Louise Larkins Specialist/Technologist 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 2020-09-11
1154959062 Joshua Clifford Hansen Student in an Organized Health Care Education/Training Program 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 2020-03-28
1346895935 Positional Release Therapy Institute LLC Specialist/Technologist 1702 E. 5600 S., Ogden, UT 84403 2019-08-09
1841842077 Braken Wooden Chiropractor 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 2019-07-09
1023670569 Wasatch Advanced Dental Care LLC Dentist 3590 Harrison Blvd Suite #1, Ogden, UT 84403 2019-07-05
1194237636 Marci Niemeyer Physician Assistant 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 2017-10-24
1578081949 Stephanie Jensen Specialist/Technologist 1473 36th Street, Ogden, UT 84403 2017-09-06
1891213385 Forrest Sutherland Specialist/Technologist 1075 E 41st St., Ogden, UT 84403 2017-09-05
1184159022 Nicole Lee Van Tassell In Home Supportive Care 1496 East 5600 South, Unit 6, Ogden, UT 84403 2017-04-28
1265889166 Modern Dental Professionals Ut, PC Dentist 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 2016-05-20
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235648049 Walk Perfect, Inc. Podiatrist 1069 S. Stewart Dr, Suite 1, Ogden, UT 84404 2017-09-25
1053560789 Susan Jespersen Agres Podiatrist 5275 Adams Ave Pkwy, Suite A, Ogden, UT 84405-6748 2008-09-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225104250 Jack M Davis Podiatrist 2251 W 900 N, Farr West, UT 84404-9586 2006-11-28
1144267089 Gary R Ridge Podiatrist 157 N 400 W, Orem, UT 84057-1909 2006-05-31
1023013794 William Woodrow Martin Podiatrist 550 E 1400 N, Ste N, Logan, UT 84341-2450 2005-06-17
1730697897 Final Kick Ankle and Foot Clinic LLC Podiatrist 476 Williams Way Ste B, Moab, UT 84532-2186 2018-01-11
1821492018 Arches Family Foot Care LLC Podiatrist 65 East 100 North, Gunnison, UT 84634-0702 2014-10-16
1881945608 Central Utah Foot Clinic, LLC Podiatrist 120 N 1220 E, Ste 12, American Fork, UT 84003-2089 2012-09-20
1013007632 Ryan Taylor Rushton Podiatrist 7495 S State St, Midvale, UT 84047-2013 2006-10-13
1841202397 Stanley J Phillips Podiatrist 9690 S 1300 E, Suite 120, Sandy, UT 84094-3721 2006-08-13
1700816709 Jon Randal Young Podiatrist 3336 Pioneer Pkwy, Ste 302, West Valley City, UT 84120-2000 2006-07-04
1881642676 Trevor R Williams Podiatrist 1561 W 7000 S, Suite 100, West Jordan, UT 84084-3556 2006-05-04
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Competitor

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City OGDEN
Zip Code 84403

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Dataset Information

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.

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