UTAH HEMATOLOGY ONCOLOGY (NPI# 1669666509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669666509 |
| Entity Type | Organization |
| Organization Name | UTAH HEMATOLOGY ONCOLOGY |
| Practice Address |
5405 S 500 E Suite 202 Ogden UT 84405-6957 |
| Mailing Address |
5290 S 400 E Ogden UT 84405-7194 |
| Practice Telephone | 8014761777 |
| Practice Fax Number | 8014791479 |
| Mailing Telephone | 8014761777 |
| Mailing Fax Number | 8014791479 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2014-06-16 |
| Authorized Official Name | MR. DAVID C PITTAM (ADMINISTRATOR) |
| Authorized Official Telephone | 8014761777 |
| Authorized Official Credential | MHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 1001556 | UT | Other Service Providers |
| Street Address |
5405 S 500 E SUITE 202 |
| City | OGDEN |
| State | UT |
| Zip Code | 84405-6957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425294 | Fawad Tanvir | Internal Medicine | 5405 S 500 E, Ste 100, Ogden, UT 84405-6957 | 2005-05-23 |
| 1982844098 | Peter George Forstall | Internal Medicine | 5405 S 500 E, Suite 204, Ogden, UT 84405-6957 | 2009-03-02 |
| 1356588008 | Mountainstar Medical Group-ogden Regional Medical Center, LLC | Internal Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2009-01-17 |
| 1760650527 | Columbia Ogden Regional | Family Medicine | 5405 S 500 E, Suite 110, Ogden, UT 84405-6957 | 2008-02-14 |
| 1821274655 | Nadya P. Wayment | Family Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-7428 | 2008-01-10 |
| 1003001553 | Ogden Internal Medicine & Urology LLC | Urology | 5405 S 500 E, Suite 100, Ogden, UT 84405-6957 | 2007-09-07 |
| 1013121003 | Alpine Plastic and Reconstructive Surgery, LLC | Specialist | 5405 S 500 E, Suite101, Ogden, UT 84405-6957 | 2007-05-09 |
| 1437267192 | Kathleen R Deremer | Internal Medicine | 5405 S 500 E, Suite 100, Ogden, UT 84405-6957 | 2006-08-25 |
| 1952326357 | Adam C Craner | Nurse Practitioner | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2006-07-13 |
| 1750314480 | Robert R Mohr | Internal Medicine | 5405 S 500 E, Ste. 100, Ogden, UT 84405-6957 | 2006-07-08 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730509647 | Shannon Iseminger | Specialist | 3536 Fowler Ave, Ogden, UT 84403-1123 | 2014-04-17 |
| 1487946554 | Gary O. Christensen M.d. A Professional Corporation | Specialist | 6028 S Ridgeline Dr Ste 201a, Ogden, UT 84405-6909 | 2011-05-09 |
| 1104000132 | Navin K Varma Md PC | Specialist | 1452 E Ridgeline Dr Ste 151, Ogden, UT 84405 | 2007-12-27 |
| 1710192034 | Mountain View Orthopedics and Sports Medicine LLC | Specialist | 1486 E Skyline Dr, Ste 202, Ogden, UT 84405-4863 | 2007-05-11 |
| 1477686582 | Drake Glen Vincent | Specialist | 1710 E 5600 S, Ogden, UT 84403-4384 | 2007-03-14 |
| 1487672986 | David More Allen | Specialist | 3860 Jackson Ave, Ste 2, Ogden, UT 84403-1997 | 2006-07-17 |
| 1487687430 | Intermountain Skin Cancer & Esthetics Center PC | Specialist | 3860 Jackson Ave Ste 2, Ogden, UT 84403-1997 | 2006-07-09 |
| 1134121148 | Brian Keith Brzowski | Specialist | 1525 E 6000 S, Suite C, Ogden, UT 84405-7144 | 2005-08-10 |
| 1487652632 | Terry D Clawson | Specialist | 3955 Harrison Blvd, Suite U7, Ogden, UT 84403-2313 | 2005-07-12 |
| 1235515453 | Skyline Plastic and Hand Surgery LLC | Specialist | 6112 S 1550 E, Suite 102, Ogden, UT 84405-5007 | 2015-08-11 |
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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.