OGDEN CLINIC SPECIALTY SERVICES LLC
NPI 1114203668
Family Medicine - Sports Medicine in Ogden, UT
NPI Status: Active since October 28, 2011
Contact Information
4650 HARRISON BLVD
OGDEN, UT
ZIP 84403
Phone: (801) 475-3000
Fax: (801) 475-3494
- Organization
- Family Medicine
- Sports Medicine
- Accepts Insurance
- CLIA Number: 46D2281621
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-12-2026
About OGDEN CLINIC SPECIALTY SERVICES LLC
This page provides the complete NPI Profile along with additional information for Ogden Clinic Specialty Services Llc, a primary care provider established in Ogden, Utah operating as a Family Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1114203668 assigned on October 2011. The practitioner's primary taxonomy code is 207QS0010X. The provider is registered as an organization and their NPI record was last updated one year ago. Ogden Clinic Specialty Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1114203668
- Provider Legal Name
- OGDEN CLINIC SPECIALTY SERVICES LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4650 HARRISON BLVD OGDEN, UT 84403
- Location Phone
- (801) 475-3000
- Location Fax
- (801) 475-3494
- Mailing Address
- PO BOX 5546 DENVER, CO 80217
- Mailing Phone
- (801) 475-3482
- Mailing Fax
- (801) 475-3494
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-28-2011
- Last Update Date
- 04-29-2025
- Code Navigator
A primary care provider (PCP) like Ogden Clinic Specialty Services Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
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
Family Medicine Sports Medicine
- Taxonomy Code
- 207QS0010X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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) |
|---|---|---|---|---|
| 1 | 103G00000X | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | |
| 2 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207ND0101X | Allopathic & Osteopathic Physicians | Dermatology | |
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 7 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 8 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 9 | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 10 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 11 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | |
| 12 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 13 | 208800000X | Allopathic & Osteopathic Physicians | Urology | |
| 14 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist |
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
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - HMO
- BridgeSpan Standard Gold Plan - HMO
- BridgeSpan Standard Silver Plan - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
- Bronze 8000 - EPO
- Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
- Bronze HSA 7000 - EPO
- Gold 2300 - EPO
- Regence Standard Bronze 7500 - EPO
- Regence Standard Gold 2000 - EPO
- Regence Standard Silver 6000 - EPO
- Silver 6500 - EPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay Office Visits - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay Office Visits - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 Number
- 46D2281621
- Facility Type
- Physician Office
- Certificate Effective Date
- June 13, 2024
- Certificate Expiration Date
- June 12, 2026
- Laboratory Director
- KELLY AMANN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Ogden Clinic Specialty Services Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114203668, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
OGDEN, UT 84403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114203668, enumerated as an "organization" on October 28, 2011.
The provider is located at 4650 HARRISON BLVD OGDEN, UT 84403 and the phone number is (801) 475-3000.
Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.
The provider might be accepting Accepts: BridgeSpan Health Company, Molina Healthcare,. Please consult your insurance carrier or call the provider to verify.
