SUSAN C HUSTAD (NPI# 1770589145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770589145 |
Entity Type | Individual |
Full Name | SUSAN C HUSTAD |
Credential | M.D. |
Practice Address |
425 E 5350 S Ste 335 Ogden UT 84405-6990 |
Practice Telephone | 8014758600 |
Practice Fax Number | 8014758686 |
Mailing Telephone | 8014758600 |
Mailing Fax Number | 8014758686 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2010-09-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 377470-1205 | UT | Allopathic & Osteopathic Physicians |
Y | 208M00000X | Hospitalist | 377470-1205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | PHYSICAN & SURGEON LICENS | 377470-1205 | 01 |
UT | STATE CONTROLLED SUBSTANC | 377470-8905 | 01 |
UT | DEA # | BH6894174 | 01 |
Street Address |
425 E 5350 S STE 335 |
City | OGDEN |
State | UT |
Zip Code | 84405-6990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477852994 | James W Starley Md A Professional Corporation | Specialist | 425 E 5350 S, 425, Ogden, UT 84405-6946 | 2011-03-23 |
1669643920 | Frank Tilaro Internal Medicine PC | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2008-03-14 |
1467637926 | Ogden Ear Nose & Throat PC | Otolaryngology | 425 E 5350 S, Suite 130, Ogden, UT 84405-6946 | 2008-01-03 |
1639350705 | Mountainstar Cardiovascular Services LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 425 E 5350 S, Suite #350, Ogden, UT 84405-6946 | 2007-11-16 |
1205032190 | Seth R Lewis Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-26 |
1912102997 | Elena L Goncharova Md PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-06-19 |
1295946499 | Carepoint Network Inc | Supports Brokerage | 425 E 5350 S, Ste 235, Ogden, UT 84405-6946 | 2007-05-28 |
1447470893 | Susan C Hustad Md, PC | Internal Medicine | 425 E 5350 S, Ste 335, Ogden, UT 84405-6946 | 2007-04-26 |
1720141435 | Lawrence Anthony Carcelli | Psychologist | 425 E 5350 S, 370, Ogden, UT 84405-6946 | 2006-12-18 |
1467514059 | James W Starley | Obstetrics & Gynecology | 425 E 5350 S, Ste 125, Ogden, UT 84405 | 2006-12-14 |
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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 | 208M00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Hospitalist |
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821548272 | Ihc Health Services Inc | Hospitalist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2016-10-10 |
1811254253 | Kyle David Clarke | Hospitalist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2012-04-23 |
1427314764 | Davis Wendell Ogitani | Hospitalist | 4401 Harrison Blvd, Hopsitalist Office, Ogden, UT 84403 | 2012-04-11 |
1215235965 | David Whitney Stanley | Hospitalist | 5475 S 500 E, Ogden, UT 84405-6905 | 2011-03-04 |
1669501342 | Ihc Health Services Inc | Hospitalist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2007-03-05 |
1508967365 | Attaya Joseph | Hospitalist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2006-09-26 |
1205875747 | Christine K. Foster | Hospitalist | 4401 Harrison Blvd, Ogden, UT 84403-3195 | 2006-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891238481 | Cuper Martinez-santibanez | Hospitalist | 3460 S Pioneer Pkwy, West Valley City, UT 84120-2049 | 2016-11-30 |
1912351297 | Brenden Jay Gallagher | Hospitalist | 5505 S 900 E, Murray, UT 84117-7209 | 2016-04-22 |
1548680119 | John Hamburg Murray | Hospitalist | 30 N 1900 S, Room 1c412, Salt Lake City, UT 84132-0001 | 2014-04-22 |
1063752855 | Md Ecf Services | Hospitalist | 2942 S 2000 W, Syracuse, UT 84075-8937 | 2013-02-15 |
1649475120 | Ermita Bort | Hospitalist | 2055 Village Point Way, Sandy, UT 84093-2681 | 2007-06-15 |
1164554069 | Ihc Health Services Inc | Hospitalist | 8 Th Avenue & C St, Salt Lake City, UT 84143-0002 | 2007-03-09 |
1205838844 | Vijaykumar Lingegowda | Hospitalist | 1200 East 3900 S, Suite 4b, Salt Lake City, UT 84124 | 2005-08-12 |
1598389595 | Ihc Health Services Inc | Hospitalist | 5373 S Green St, Salt Lake City, UT 84123-4680 | 2020-06-04 |
1609334911 | Santibanez Aguirre Slc PC | Hospitalist | 1050 E South Temple, Salt Lake City, UT 84102-1507 | 2019-03-05 |
1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
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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.