OGDEN INTERNAL MEDICINE & UROLOGY LLC
NPI 1003001553
Internal Medicine in Ogden, UT

NPI Status: Active since September 07, 2007

Contact Information

5405 S 500 E STE 203
OGDEN, UT
ZIP 84405
Phone: (801) 475-8600
Fax: (801) 475-8686

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  • Organization
  • Internal Medicine
  • CLIA Number 46D2012567
  • CLIA Certificate of Waiver

About OGDEN INTERNAL MEDICINE & UROLOGY LLC

Ogden Internal Medicine & Urology Llc is an internist established in Ogden, Utah operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1003001553 assigned on September 2007. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year 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. The authorized official of this NPI record is Louis Joseph (Vp)

NPI1003001553
Provider NameOGDEN INTERNAL MEDICINE & UROLOGY LLC
Location Address5405 S 500 E STE 203 OGDEN, UT 84405
Location Phone(801) 475-8600
Mailing Address2000 HEALTH PARK DR BRENTWOOD, TN 37027
Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-07-2007
Last Update Date01-02-2023
Code Navigator

An internist like Ogden Internal Medicine & Urology Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

The CLIA number of Ogden Internal Medicine & Urology Llc is 46D2012567 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Ogden Internal Medicine & Urology Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Location Map

Mailing Address

2000 HEALTH PARK DR
BRENTWOOD, TN
ZIP 37027
Phone: (615) 373-7600
Fax: (866) 346-1426

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code207R00000X
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208800000XAllopathic & Osteopathic Physicians

Urology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LOUIS JOSEPH

Authorized Official TitleVP
Authorized Official Phone(615) 373-7630

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1003001553MEDICAID (05)UT 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number46D2012567
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003001553
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003002510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 2 + 5 + 1 + 0 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003001553 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407052772DR. CELINE LUCILLE RIVERA M.D.
Individual
Internal Medicine5405 S 500 E STE 203
OGDEN, UT 84405
(801) 475-8600
1811141211DR. SCOTT ATKIN MOULTON D.O.
Individual
Internal Medicine5405 S 500 E STE 203
OGDEN, UT 84405
(801) 476-7500

Frequently Asked Questions

What is OGDEN INTERNAL MEDICINE & UROLOGY LLC NPI number?

The NPI number assigned to this healthcare provider is 1003001553, enumerated in the NPI registry as an "organization" on September 07, 2007

Where is the provider located?

The provider is located at 5405 S 500 E Ste 203 Ogden, Ut 84405 and the phone number is (801) 475-8600

What is the provider specialty code?

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

What insurance does OGDEN INTERNAL MEDICINE & UROLOGY LLC accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

What is OGDEN INTERNAL MEDICINE & UROLOGY LLC CLIA number?

The provider's CLIA number is 46D2012567 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

How do I update my NPI information?

This NPI record was last updated on September 07, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.