DR. ERIC G ELIASON (NPI# 1760692602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760692602 |
| Entity Type | Individual |
| Full Name | DR. ERIC G ELIASON |
| Credential | D.O. |
| Practice Address |
4403 Harrison Blvd Ste 2600 Ogden UT 84403 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 8013875620 |
| Practice Fax Number | 8013875625 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9082488-1204 | UT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 135981900 | 05 | |
| CO | 87934281 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679669071 | Eric Alan Eliason | Audiologist | 554 Keily Street, Centralized Credential and Privileging Directorate, Jacksonville, FL 32212-8014 | 2006-10-04 |
| Street Address |
4403 HARRISON BLVD STE 2600 |
| City | OGDEN |
| State | UT |
| Zip Code | 84403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837974 | Roger Stuart Smith | Psychiatry & Neurology | 4403 Harrison Blvd Ste 2600, Ogden, UT 84403-3277 | 2005-11-10 |
| 1336619402 | Colten J Stokes | Physician Assistant | 4403 Harrison Blvd Ste 2600, Ogden, UT 84403-3277 | 2018-11-30 |
| 1649553835 | Spencer Lance Davenport | Physician Assistant | 4403 Harrison Blvd Ste 2600, Ogden, UT 84403-3277 | 2011-09-23 |
| 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 |
| Find all providers in zip 84403 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1740255819 | Steven A Porter | Internal Medicine | 1508 E Skyline Dr, Ste 600, Ogden, UT 84405-4857 | 2006-02-21 |
| 1972503696 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, #201, Ogden, UT 84405-6914 | 2005-07-22 |
| 1609406511 | Tanner Memorial Clinic | Internal Medicine | 6028 S Ridgeline Dr Ste 201, Ogden, UT 84405-6908 | 2020-01-20 |
| 1245649060 | Ihc Health Services Inc | Internal Medicine | 4403 Harrison Blvd, Ste 2600, Ogden, UT 84403-3277 | 2014-08-06 |
| 1730496472 | Caroline R Tadros Md, Profession Corporation | Internal Medicine | 4403 Harrison Blvd, Suite #2855, Ogden, UT 84403-3271 | 2010-09-01 |
| 1285959114 | Joshua George Vandersteen | Internal Medicine | 5740 Crestwood Dr, Ogden, UT 84405-4869 | 2010-04-04 |
| 1255527909 | Utah Digestive Health Institute | Internal Medicine | 6028 S Ridgeline Dr, Suite 201, Ogden, UT 84405-6914 | 2007-09-17 |
| 1235261025 | Chad M Gonzales Md PC | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3271 | 2007-03-09 |
| 1104958974 | Steven A Porter Md PC | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3271 | 2007-03-09 |
| 1669447801 | Chad Michael Gonzales | Internal Medicine | 4403 Harrison Blvd, Suite 2855, Ogden, UT 84403-3323 | 2006-02-21 |
| 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.