DR. WILLARD Z MAUGHAN (NPI# 1235125063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235125063 |
Entity Type | Individual |
Full Name | DR. WILLARD Z MAUGHAN |
Credential | M.D. |
Practice Address |
6028 S Ridgeline Dr #200 South Ogden UT 84405-6914 |
Mailing Address |
6028 S Ridgeline Dr Ste 200 South Ogden UT 84405-6906 |
Practice Telephone | 8014755210 |
Practice Fax Number | 8014755209 |
Mailing Telephone | 8014755210 |
Mailing Fax Number | 8014755209 |
Enumeration Date | 2005-09-27 |
Last Update Date | 2015-08-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
1614591205 | UT | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699939603 | Willard W Maughan | Dentist | 521 N 11th St, Richmond, VA 23298-5045 | 2008-07-18 |
Street Address |
6028 S RIDGELINE DR #200 |
City | SOUTH OGDEN |
State | UT |
Zip Code | 84405-6914 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316026057 | Willard Z Maughan M.d. P.C. | Dermatology | 6028 S Ridgeline Dr, Ste 200, South Ogden, UT 84405-6914 | 2006-11-03 |
1154304749 | Ridgeline Endoscopy Center L.c. | Clinic/Center | 6028 S Ridgeline Dr, Suite 100, South Ogden, UT 84405-6914 | 2005-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669028171 | Alyssa House | Behavioral Analyst | 4933 1500 West #110, Riverdale, UT 84405 | 2019-08-12 |
1518525989 | Petersen Farms Assisted Living & Memory Care | Assisted Living Facility | 6980 S. 475 E., South Weber, UT 84405 | 2019-05-31 |
1376038141 | National Vision, Inc. | Technician/Technologist | 821 West Riverdale Road, Riverdale, UT 84405 | 2018-06-25 |
1194218461 | South Weber City | Ambulance | 7365 S 1375 E, South Weber, UT 84405 | 2018-06-12 |
1528572682 | Sandra Jo Scott | Dental Hygienist | 264 W Ridgeline Dr, Washington Terrace, UT 84405 | 2017-11-28 |
1376079061 | Loretta Shupe | Registered Nurse | 5319 S 500 E, Ogden, UT 84405 | 2017-05-02 |
1134661374 | Randy Ferrin | Registered Nurse | 5697 Maplewood Drive, South Ogden, UT 84405 | 2016-11-04 |
1871046284 | Karla Rosen | Counselor | 5202 S. Freeway Park Dr., Riverdale, UT 84405 | 2016-08-02 |
1053784520 | Jenifer Rebecca Nilson Smith | Physical Therapist | 5648 S. Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
1972976454 | Jenniferlyn Fletcher | Physical Therapy Assistant | 5648 South Adams Ave, Washington Terrace, UT 84405 | 2015-11-05 |
Find all providers in zip 84405 |
Taxonomy Code | 207NS0135X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Procedural Dermatology |
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508195744 | Jacqueline S Silkey | Dermatology | 192 S. Main St, Kaysville, UT 84037 | 2009-12-17 |
1154536647 | Leo Sotiriou, Md, LLC | Dermatology | 250 East 300 South #330, Salt Lake City, UT 84111-2424 | 2007-05-10 |
1518949411 | Rolfe P Horsley | Dermatology | 6040 S 300 E, #203, Murray, UT 84107-5419 | 2005-11-16 |
1801885199 | Leo Sotiriou | Dermatology | 250 E 300 S, #330, Salt Lake City, UT 84111-2418 | 2005-10-19 |
1184616880 | Karl Kirk Trimble | Dermatology | 169 W 2710 South Cir Ste 101, St George, UT 84790-7202 | 2005-08-18 |
1407048515 | Nathan William Hanson | Dermatology | 1350 N 500 E, Logan, UT 84341-2400 | 2007-08-13 |
1275557407 | Robin Berger | Dermatology | 640 E 700 S, Suite 1, St George, UT 84770-4023 | 2006-07-27 |
1912960014 | Stephen Talmage Thomson | Dermatology | 6028 S Ridgeline Dr, Suite #102, Ogden, UT 84405-6914 | 2006-04-10 |
City | SOUTH OGDEN |
Zip Code | 84405 |
Please comment or provide details below to improve the information on DR. WILLARD Z MAUGHAN.
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.