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MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC
NPI 1356588008
Internal Medicine in Ogden, UT

Active since January 17, 2009CLIA 46D1094130 · Waiver
5405 S 500 E, STE. 100, OGDEN, UT 84405(801) 282-5952(801) 569-5990 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Jan 2, 2023, Oct 28, 2020 (3 updates tracked since 2020).

About Mountainstar Medical Group-ogden Regional Medical Center, Llc NPPES

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

MOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC (NPI 1356588008), doing business as Mountainstar Primary Care, Llc, is a healthcare organization registered as an internal medicine in Ogden, Utah and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Louis Joseph, Vp, as its authorized official.

NPPES Registry Identity

NPI1356588008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMOUNTAINSTAR MEDICAL GROUP-OGDEN REGIONAL MEDICAL CENTER, LLC
Location Address5405 S 500 E, STE. 100Ogden, UT 84405-6957
Mailing Address2000 Health Park DrBrentwood, TN 37027-4525 · (615) 373-7406 · Fax (866) 346-1426
Phone(801) 282-5952
Fax(801) 569-5990
Organization SubpartNo
Authorized OfficialLouis JosephVp · (615) 373-7630
Enumeration DateJanuary 17, 2009
Last NPPES UpdateAugust 29, 20233 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1356588008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A 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.
5405 S 500 E, Ogden, UT 84405
Open in Google Maps ↗

Other Names 1

Former Legal Business NameMountainstar Primary Care, Llc

Other Identifiers 1

Medicaid1356588008UT

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 ›

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 46D1094130

Mountainstar Primary Care · Ogden, UT
Active · expires Jan 11, 2027
CLIA Number46D1094130
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorRobert R. Mohr
Laboratory Phone(801) 475-7966
Laboratory LocationMountainstar Primary Care5405 South 500 East Ste 100, Ogden, UT 84405
CLIA data matches this NPI record on: Address Name
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.

ALPINE PLASTIC AND RECONSTRUCTIVE SURGERY, LLC
Specialist
5405 S 500 E, SUITE101
OGDEN, UT 84405
Weber County (801) 689-3500
GREGORY T ALMONY MD
Internal Medicine (Cardiovascular Disease)
5405 S 500 E, SUITE #204
OGDEN, UT 84405
Weber County (801) 479-0194
MICHAEL J DIEHL MD
Internal Medicine (Interventional Cardiology)
5405 S 500 E, SUITE #204
OGDEN, UT 84405
Weber County (801) 479-0184
KATHLEEN R DEREMER MD
Hospitalist
5405 S 500 E, SUITE 100
OGDEN, UT 84405
Weber County (801) 475-8600
ALPINE SURGICAL CENTER, LLC
Clinic/Center (Ambulatory Surgical)
5405 S 500 E, SUITE101
OGDEN, UT 84405
Weber County (801) 689-3500
UTAH HEMATOLOGY ONCOLOGY
Specialist
5405 S 500 E, SUITE 202
OGDEN, UT 84405
Weber County (801) 476-1777
MICHAEL E CRAWFORD MD
Internal Medicine (Interventional Cardiology)
5405 S 500 E, SUITE #204
OGDEN, UT 84405
Weber County (801) 479-0184
DR. RANDALL DEAN BARNETT M.D.
Legal Medicine
5405 S 500 E, SUITE 101
OGDEN, UT 84405
Weber County (801) 689-3500

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 Mountainstar Medical Group-Ogden Regional Medical Center, LLC's NPI number?

The NPI number for Mountainstar Medical Group-Ogden Regional Medical Center, LLC is 1356588008. It was assigned to this organization in the NPPES registry on January 17, 2009. The provider was formerly known as Mountainstar Primary Care, LLC.

Where is Mountainstar Medical Group-Ogden Regional Medical Center, LLC located?

Mountainstar Medical Group-Ogden Regional Medical Center, LLC is located at 5405 S 500 E Ste. 100, Ogden, UT 84405. The listed phone number is (801) 282-5952.

What is Mountainstar Medical Group-Ogden Regional Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Mountainstar Medical Group-Ogden Regional Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D1094130) is associated with this NPI, valid through January 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mountainstar Medical Group-Ogden Regional Medical Center, LLC accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Mountainstar Medical Group-Ogden Regional Medical Center, 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 Mountainstar Medical Group-Ogden Regional Medical Center, LLC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.