OGDEN CLINIC SPECIALTY SERVICES LLC
NPI 1114203668
Family Medicine - Sports Medicine in Ogden, UT

Q: What is Ogden Clinic Specialty Services LLC's NPI number?

The NPI number for Ogden Clinic Specialty Services LLC is 1114203668. It was assigned to this organization in the NPPES registry on October 28, 2011. The provider is doing business as Ogden Clinic PC.

Q: What is Ogden Clinic Specialty Services LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since October 28, 2011

4650 HARRISON BLVD, OGDEN, UT 84403(801) 475-3000(801) 475-3494 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 4, 2024, Oct 23, 2020, Sep 16, 2020 (3 updates tracked since 2020).

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About Ogden Clinic Specialty Services Llc NPPES

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

OGDEN CLINIC SPECIALTY SERVICES LLC (NPI 1114203668), doing business as Ogden Clinic Pc, is a healthcare organization registered as a sports medicine in Ogden, Utah and active in the NPI registry since October 2011. The organization lists David Cope, Board President, as its authorized official.

NPPES Registry Identity

NPI1114203668

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameOGDEN CLINIC SPECIALTY SERVICES LLC

Location Address4650 HARRISON BLVDOgden, UT 84403-4303

Mailing AddressPo Box 5546Denver, CO 80217-5546 · (801) 475-3482 · Fax (801) 475-3494

Phone(801) 475-3000

Fax(801) 475-3494

Organization SubpartYesParent: Ogden Clinic Pc

Authorized OfficialDavid CopeBoard President · (801) 475-3482

Enumeration DateOctober 28, 2011

Last NPPES UpdateApril 29, 20253 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1114203668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

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.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X

Also ListedNeurological SurgeryTaxonomy 207T00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedPodiatristTaxonomy 213E00000X

4650 HARRISON BLVD, Ogden, UT 84403

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Other Names 1

Doing Business AsOgden Clinic Pc

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

CHAD W TINGEY MD

Dermatology