ALPINE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
NPI 1013121003
Specialist in Ogden, UT

Active since May 09, 2007CLIA 46D1042547 · Waiver
5405 S 500 E, SUITE101, OGDEN, UT 84405(801) 689-3500(801) 689-3505 Get Directions Write a Review

NPPES record last updated: May 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alpine Plastic And Reconstructive Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALPINE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC (NPI 1013121003) is a healthcare organization registered as a specialist in Ogden, Utah and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Carole T Grobe, Billing Business Manager, as its authorized official.

NPPES Registry Identity

NPI1013121003
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALPINE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
Location Address5405 S 500 E, SUITE101Ogden, UT 84405-6957
Mailing Address5405 S 500 E, Suite101Ogden, UT 84405-6957 · (801) 689-3500 · Fax (801) 689-3505
Fax(801) 689-3505
Organization SubpartNo
Authorized OfficialCarole T GrobeBilling Business Manager · (801) 689-3506
Enumeration DateMay 9, 2007
Last NPPES UpdateMay 30, 2013
NPI 1013121003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

5405 S 500 E, Ogden, UT 84405

Other Identifiers 1

Medicare PIN000055634UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D1042547

Alpine Plastic & Reconstructive Surgery Center · Ogden, UT
Active · expires Jun 30, 2027
CLIA Number46D1042547
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorRandall Barnett
Laboratory Phone(801) 689-3505
Laboratory LocationAlpine Plastic & Reconstructive Surgery Center5405 South 500 East Suite 101, Ogden, UT 84405
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
5405 S 500 E, SUITE 100
OGDEN, UT 84405
Legal Medicine
5405 S 500 E, SUITE 101
OGDEN, UT 84405
Clinic/Center (Ambulatory Surgical)
5405 S 500 E, SUITE101
OGDEN, UT 84405
Specialist
5405 S 500 E, SUITE 202
OGDEN, UT 84405
Internal Medicine (Interventional Cardiology)
5405 S 500 E, SUITE #204
OGDEN, UT 84405
Family Medicine
5405 S 500 E, STE. 100
OGDEN, UT 84405
Family Medicine (Geriatric Medicine)
5405 S 500 E, SUITE 110
OGDEN, UT 84405
Internal Medicine (Interventional Cardiology)
5405 S 500 E, SUITE #204
OGDEN, UT 84405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alpine Plastic And Reconstructive Surgery, LLC's NPI number?

The NPI number for Alpine Plastic And Reconstructive Surgery, LLC is 1013121003. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Alpine Plastic And Reconstructive Surgery, LLC located?

Alpine Plastic And Reconstructive Surgery, LLC is located at 5405 S 500 E Suite101, Ogden, UT 84405. The listed phone number is (801) 689-3500.

What is Alpine Plastic And Reconstructive Surgery, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Alpine Plastic And Reconstructive Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1042547) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Alpine Plastic And Reconstructive Surgery, LLC accept?

Health plans from Molina Healthcare list Alpine Plastic And Reconstructive Surgery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alpine Plastic And Reconstructive Surgery, LLC was last updated on May 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.