Matthew A Hagemeyer (NPI# 1720209380, PAC ID# 6406925080) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720209380 |
| PAC ID by PECOS | 6406925080 |
| Professional Enrollment ID | I20150803001197 |
| Full Name | Matthew A Hagemeyer |
| Organization Legal Name | OGDEN CLINIC PC |
| Address |
1159 12th St Ogden UT 84404-5144 |
| Phone Number | 8017799975 |
| Gender | M |
| Medical School | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9638078033 |
| Number of Group Practice Members | 151 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460004 | MCKAY DEE HOSPITAL |
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1159 12th St, Ogden, UT 84404-5144 | 8017799975 | OGDEN CLINIC PC |
| Organization Legal Name | OGDEN CLINIC PC |
| Physicians | 130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan D Wilson | Nurse Practitioner | Ogden Clinic PC | 3225 W Gordon Ave, 1 Odgen Clinic Davis Family Physicians, Layton, UT 84041-8769 |
| Samantha L Clarkson | Nurse Practitioner | Ogden Clinic PC | 5740 Crestwood Dr, Ogden, UT 84405-4869 |
| Darek K Eggleston | Family Medicine | Ogden Clinic PC | 1100 W 2700, Pleasant View, UT 84414-1217 |
| Jessica Wozab | Physician Assistant | Ogden Clinic PC | 3485 W 5200, Ogden Clinic Grand View, Roy, UT 84067-9438 |
| Amber D Whitear | Obstetrics/gynecology | Ogden Clinic PC | 5495 S 500 E, Suite 350, Ogden, UT 84405-7411 |
| Chad W Tingey | Dermatology | Ogden Clinic PC | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Kurtis Alden Woolf | Family Medicine | Ogden Clinic PC | 991 Shepard Land, Suite 210, Farmington, UT 84025 |
| Kevin G Walker | Podiatry | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Raymond Paul Ward | Family Medicine | Ogden Clinic PC | 185 S 400, Suite 100, Bountiful, UT 84010-4801 |
| Curt R Stock | Otolaryngology | Ogden Clinic PC | 1551 S Renaissance Towne Dr, Suite 310, Bountiful, UT 84010-7671 |
| Street Address |
1159 12TH ST |
| City | OGDEN |
| State | UT |
| Zip | 84404-5144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby L Holmes | Nurse Practitioner | Ogden Clinic PC | 1159 12th St, Ogden, UT 84404-5144 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Webb | Clinical Social Worker | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| Kristin Orgill | Clinical Social Worker | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| Reena Green-josoff | Clinical Social Worker | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| M Shawn Palau | Clinical Social Worker | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| Joseph Richard Rees | General Practice | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| Lynda Lazar | Nurse Practitioner | Aloha Behavioral Consultants, Inc. | 811 N Harrisville Rd, Harrisville, UT 84404-3537 |
| Charles H Kinney | Optometry | Standard Optical Co | 460 N 325, Harrisville, UT 84404-3578 |
| Rich H Humpherys | Optometry | Family Vision Care of Ogden PC | 1055 N Washington Blvd, Ogden, UT 84404-3605 |
| Tyson G Bradford | Chiropractic | 859 Washington Blvd, Suite 1, Ogden, UT 84404-4972 | |
| Daniel B Davenport | Chiropractic | Utah Pain and Rehab Inc. | 1276 S Wall Ave, Ogden, UT 84404-5657 |
| Find all physicians in zip 84404 | |||
| City | OGDEN |
| Zip Code | 84404 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OGDEN + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.