MICHAEL E SEVERANCE (NPI# 1942273149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942273149 |
| Entity Type | Individual |
| Full Name | MICHAEL E SEVERANCE |
| Credential | PA-C |
| Practice Address |
5495 South 500 East Suite 120 Ogden UT 84405 |
| Practice Telephone | 8014790174 |
| Practice Fax Number | 8014798888 |
| Mailing Telephone | 8014790174 |
| Mailing Fax Number | 8014798888 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4728390-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5740 Crestwood Dr, Ogden, UT 844054869 | 8014797771 | 8014797795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790708907 | Michael Scott Severance | Urology | 3207 W Truman Blvd, Jefferson City, MO 65109-0578 | 2006-07-26 |
| Street Address |
5495 SOUTH 500 EAST SUITE 120 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405 |
| 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 | 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 | ||||
Please comment or provide details below to improve the information on MICHAEL E SEVERANCE.
| 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.