OGDEN INTERNAL MEDICINE & UROLOGY LLC NPI 1003001553

Internal Medicine in Ogden, UT

About OGDEN INTERNAL MEDICINE & UROLOGY LLC

Ogden Internal Medicine & Urology Llc is a provider in Ogden, UT. The NPI number assigned to this provider is 1003001553. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an organization and their NPI record was last updated 8 years ago. Ogden Internal Medicine & Urology Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI1003001553 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameOGDEN INTERNAL MEDICINE & UROLOGY LLC
Provider Location Address5405 S 500 E SUITE 100 OGDEN, UT 84405 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address5405 S 500 E SUITE 100 OGDEN, UT 84405 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-07-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-15-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

OGDEN INTERNAL MEDICINE & UROLOGY LLC
5405 S 500 E
SUITE 100
OGDEN, UT
ZIP 84405
Phone: (801) 475-8600
Fax: (801) 475-8686
Get Directions

Mailing Address

OGDEN INTERNAL MEDICINE & UROLOGY LLC
5405 S 500 E
SUITE 100
OGDEN, UT
ZIP 84405
Phone: (801) 475-8600
Fax: (801) 475-8686

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Authorized Official

Authorized Official NameMR. DAVID J KANE Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleVICE PRESIDENT
Authorized Official Phone(801) 568-5999

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208800000XAllopathic & Osteopathic PhysiciansUrologyNo

Taxonomy Description: a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DH0022MEDICARE PIN (08)
=========OTHER (01)UT
1003001553MEDICAID (05)UT
000062465MEDICARE PIN (08)UT

Map Location


OGDEN INTERNAL MEDICINE & UROLOGY LLC address is 5405 S 500 E SUITE 100 OGDEN, UT 84405

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013121003ALPINE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
Organization
Specialist5405 S 500 E SUITE101
OGDEN, UT 84405
(801) 689-3500
1023003142 GREGORY T ALMONY MD
Individual
Internal Medicine (Cardiovascular Disease)5405 S 500 E SUITE #204
OGDEN, UT 84405
(801) 479-0194
1164425294DR. FAWAD TANVIR MD
Individual
Internal Medicine (Infectious Disease)5405 S 500 E STE 100
OGDEN, UT 84405
(801) 475-8600
1265427371 MICHAEL J DIEHL MD
Individual
Internal Medicine (Interventional Cardiology)5405 S 500 E SUITE #204
OGDEN, UT 84405
(801) 479-0184
1356588008MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC
Organization
Internal Medicine5405 S 500 E STE. 100
OGDEN, UT 84405
(801) 282-5952
1437267192 KATHLEEN R DEREMER MD
Individual
Hospitalist5405 S 500 E SUITE 100
OGDEN, UT 84405
(801) 475-8600
1588025969 JILL WOODRING NP-C
Individual
Nurse Practitioner (Family)5405 S 500 E STE 204
OGDEN, UT 84405
(801) 479-0184
1649278581ALPINE SURGICAL CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)5405 S 500 E SUITE101
OGDEN, UT 84405
(801) 689-3500
1669666509UTAH HEMATOLOGY ONCOLOGY
Organization
Specialist5405 S 500 E SUITE 202
OGDEN, UT 84405
(801) 476-1777
1699760397 MICHAEL E CRAWFORD MD
Individual
Internal Medicine (Interventional Cardiology)5405 S 500 E SUITE #204
OGDEN, UT 84405
(801) 479-0184
1700883600DR. RANDALL DEAN BARNETT M.D.
Individual
Legal Medicine5405 S 500 E SUITE 101
OGDEN, UT 84405
(801) 689-3500
1750314480 ROBERT R MOHR MD
Individual
Internal Medicine5405 S 500 E STE. 100
OGDEN, UT 84405
(801) 282-5952
1760650527COLUMBIA OGDEN REGIONAL
Organization
Family Medicine (Geriatric Medicine)5405 S 500 E SUITE 110
OGDEN, UT 84405
(801) 475-4379
1780846881DR. JULIA G ANSARI M.D.
Individual
Internal Medicine (Cardiovascular Disease)5405 S 500 E #204
OGDEN, UT 84405
(801) 479-0184
1821274655 NADYA P. WAYMENT M.D.
Individual
Family Medicine5405 S 500 E STE. 100
OGDEN, UT 84405
(801) 475-7966
1922067651 ROBERT F ZINK MD
Individual
Internal Medicine (Cardiovascular Disease)5405 S 500 E
OGDEN, UT 84405
1952326357 ADAM C CRANER APRN
Individual
Nurse Practitioner (Family)5405 S 500 E STE. 100
OGDEN, UT 84405
(801) 475-7966
1982844098DR. PETER GEORGE FORSTALL M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)5405 S 500 E SUITE 204
OGDEN, UT 84405
(801) 476-0184