FAHEEM AKHTAR (NPI# 1144498163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144498163 |
Entity Type | Individual |
Full Name | FAHEEM AKHTAR |
Credential | M.D. |
Practice Address |
3903 Harrison Blvd. Suite 100 Ogden UT 84403-2361 |
Mailing Address |
5444 S Green Street Murray UT 84123-5632 |
Practice Telephone | 8013878900 |
Practice Fax Number | 8013878920 |
Mailing Telephone | 8013134140 |
Mailing Fax Number | 7757897040 |
Enumeration Date | 2008-02-12 |
Last Update Date | 2019-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
12869 | NV | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
6228774-8905 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | DEA NUMBER | FA0058873 | 01 |
Street Address |
3903 HARRISON BLVD. SUITE 100 |
City | OGDEN |
State | UT |
Zip Code | 84403-2361 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235744632 | Megan Louise Larkins | Specialist/Technologist | 4000 Brinker Ave. The Apartments., Apartment 15, Ogden, UT 84403 | 2020-09-11 |
1154959062 | Joshua Clifford Hansen | Student in an Organized Health Care Education/Training Program | 4403 Harrison Boulevard, Ste A700, Ogden, UT 84403 | 2020-03-28 |
1346895935 | Positional Release Therapy Institute LLC | Specialist/Technologist | 1702 E. 5600 S., Ogden, UT 84403 | 2019-08-09 |
1841842077 | Braken Wooden | Chiropractor | 1893 Skyline Dr., Suite 204, South Ogden, UT 84403 | 2019-07-09 |
1023670569 | Wasatch Advanced Dental Care LLC | Dentist | 3590 Harrison Blvd Suite #1, Ogden, UT 84403 | 2019-07-05 |
1194237636 | Marci Niemeyer | Physician Assistant | 5929 Fashion Point Dr Ste 101, South Ogden, UT 84403 | 2017-10-24 |
1578081949 | Stephanie Jensen | Specialist/Technologist | 1473 36th Street, Ogden, UT 84403 | 2017-09-06 |
1891213385 | Forrest Sutherland | Specialist/Technologist | 1075 E 41st St., Ogden, UT 84403 | 2017-09-05 |
1184159022 | Nicole Lee Van Tassell | In Home Supportive Care | 1496 East 5600 South, Unit 6, Ogden, UT 84403 | 2017-04-28 |
1265889166 | Modern Dental Professionals Ut, PC | Dentist | 5974 S. Fashion Pointe Drive, Suite 210, South Ogden, UT 84403 | 2016-05-20 |
Find all providers in zip 84403 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225640717 | Usa Vein Clinics of Utah LLC | Surgery | 6028 S Ridgeline Dr, Ogden, UT 84405-6914 | 2020-08-18 |
1144492943 | Brian Craig Adams | Surgery | 3903 Harrison Blvd, Suite 100, Ogden, UT 84403-2361 | 2008-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841802352 | Usa Vascular Centers of Utah LLC | Surgery | 3479 W 4800 S Ste A, Roy, UT 84067-9429 | 2020-08-18 |
1346507456 | Evan Robert Brownie | Surgery | 5323 S Woodrow St Ste 101, Murray, UT 84107-5843 | 2012-04-13 |
1801110531 | Jesse Perry | Surgery | 777 Old Ranch Rd, Park City, UT 84098-6714 | 2010-03-24 |
1518293323 | Lakeview Internal Medicine, LLC | Surgery | 444 W Bourne Cir Ste 101, Farmington, UT 84025-3657 | 2009-10-29 |
1235398645 | Grant Bryan Erickson | Surgery | Dept Vascular Surgey, 30 North 1900 East, Room 3c 344 Som, Salt Lake City, UT 84132-0001 | 2008-06-02 |
1437347770 | Summit Laser Medical Arts, LLC | Surgery | 2952 Caitland Ct, Salt Lake City, UT 84121-7018 | 2007-10-11 |
1033215686 | Peter E Jensen | Surgery | 7410 S Creek Rd Ste 104, Sandy, UT 84093-6151 | 2006-09-14 |
1790719219 | Mark D Morasch | Surgery | 1160 E 3900 S Ste 3500, Salt Lake City, UT 84124-1264 | 2006-07-10 |
1023019346 | Greg R. Goodman | Surgery | 5323 S. Woodrow Street, #102, Murray, UT 84107 | 2005-08-09 |
1407854821 | Harrison M Lazarus | Surgery | 3584 W 9000 S, Ste 400, West Jordan, UT 84088-5710 | 2005-07-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.