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JON W AHLSTROM MD PC
NPI 1679847784
Obstetrics & Gynecology in North Logan, UT

Active since March 07, 2012
550 E 1400 N, STE I, NORTH LOGAN, UT 84341(435) 753-1545(435) 753-3153 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jon W Ahlstrom Md Pc NPPES

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

JON W AHLSTROM MD PC (NPI 1679847784) is a healthcare organization registered as an obstetrics & gynecology in North Logan, Utah and active in the NPI registry since March 2012. The organization lists Jon W Ahlstrom, Owner, as its authorized official.

NPPES Registry Identity

NPI1679847784
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJON W AHLSTROM MD PC
Location Address550 E 1400 N, STE INorth Logan, UT 84341-2406
Mailing Address550 E 1400 N, Ste INorth Logan, UT 84341-2406 · (435) 753-1545 · Fax (435) 753-3153
Phone(435) 753-1545
Fax(435) 753-3153
Organization SubpartNo
Authorized OfficialJon W AhlstromOwner · (435) 753-1545
Enumeration DateMarch 7, 2012
✔ NPI 1679847784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in UT · 4918766-1205
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
550 E 1400 N, North Logan, UT 84341
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon W Ahlstrom Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jon W Ahlstrom MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jon Ahlstrom, MD
Obstetrics/Gynecology
NPI 1437146065
550 E 1400 N SUITE I
Logan, UT 84341
(435) 753-1545
✔ PECOS✔ Accepts Medicare1.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jon W Ahlstrom MD PC's NPI number?

The NPI number for Jon W Ahlstrom MD PC is 1679847784. It was assigned to this organization in the NPPES registry on March 7, 2012.

Where is Jon W Ahlstrom MD PC located?

Jon W Ahlstrom MD PC is located at 550 E 1400 N Ste I, North Logan, UT 84341. The listed phone number is (435) 753-1545.

What is Jon W Ahlstrom MD PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Jon W Ahlstrom MD PC enrolled in Medicare?

Yes. Jon W Ahlstrom MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jon W Ahlstrom MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Jon W Ahlstrom MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jon W Ahlstrom MD PC was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.