DR. PHILIP JIRICKO (NPI# 1982816351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982816351 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JIRICKO |
| Other Name | DR. PHIL JIRICKO |
| Credential | MD |
| Practice Address |
2400 N Washington Blvd North Ogden UT 84414-7233 |
| Mailing Address |
5375 Shoshone Circle Ogden UT 84403 |
| Practice Telephone | 8017867778 |
| Mailing Telephone | 8015555555 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2009-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
6283141-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
2400 N WASHINGTON BLVD |
| City | NORTH OGDEN |
| State | UT |
| Zip Code | 84414-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033676218 | Patricia Grissom | Nurse Practitioner | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2019-02-25 |
| 1235574583 | Jean Mcguire | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2013-04-30 |
| 1467753798 | Nicole Rae Summers | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2010-11-03 |
| 1710298708 | Marc Michael Wangsgard | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2010-06-24 |
| 1043539844 | Trent P Florence | Pharmacist | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2010-05-19 |
| 1629396882 | Kelly W Maughan | Pharmacist | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2010-05-12 |
| 1619175189 | Benjamin Barraclough | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2007-07-06 |
| 1033240460 | Ihc Health Services Inc | Emergency Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2007-03-08 |
| 1770658684 | Daniel Dennis Alsup Jr. | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2006-11-24 |
| 1053481986 | Lee Carl Schussman | Family Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881986305 | Abigail Lauren Jenkins | Psychologist | 3836 N 700 E, Ogden, UT 84414 | 2011-05-03 |
| 1003145947 | Lomond View Dental | Dentist | 2685 North 1000 West, Suite 101, Pleasant View, UT 84414 | 2009-12-23 |
| 1609058528 | Pleasant View Dialysis | Clinic/Center | 2715 N Hwy 89, Pleasant View, UT 84414 | 2007-12-03 |
| 1902934243 | Jlsco LLC | Pharmacy | 2645 N Washington Blvd, North Ogden, UT 84414 | 2007-02-28 |
| 1700930716 | Choice Supported Employment Services Inc | Day Training, Developmentally Disabled Services | 3942 N 650 W, Community Based Services To Help Find Employment Commun, Pleasant View, UT 84414 | 2007-01-23 |
| 1891873055 | Michael Stephen Affleck | Dentist | 2537 N 400e, North Ogden, UT 84414 | 2006-11-02 |
| 1659453421 | Michael Dale Swenson | Dentist | 2252 N 400 E, North Ogden, UT 84414 | 2006-10-20 |
| 1477662187 | Paul D Hopkins Dds PC | Dentist | 859 W Pleasant View Dr, Pleasant View, UT 84414 | 2006-08-29 |
| 1801812714 | Brendan Rodney Green | Dentist | 2707 North 400 East, North Ogden, UT 84414 | 2006-07-14 |
| 1669419701 | Mark E Harris | Dentist | 2274 N 400 E, Suite 204, North Ogden, UT 84414 | 2006-05-31 |
| Find all providers in zip 84414 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190472 | Healthstat On-site Clinic/milliken St. Georg | Preventive Medicine | 961 E Commerce Dr, St George, UT 84790-4737 | 2013-09-10 |
| 1164707105 | Alice Dowling | Preventive Medicine | 3837 E Sunnydale Ln, Salt Lake City, UT 84108-1523 | 2011-10-20 |
| 1366764540 | Lynne Marie Morgan | Preventive Medicine | 460 Redondo Ave, Salt Lake City, UT 84115-2226 | 2010-02-16 |
| 1346253945 | Susanne Christine Thobe | Preventive Medicine | Bldg 5116 Kister Avenue, Dugway, UT 84022 | 2006-08-14 |
| 1285698217 | Annette G Burst | Preventive Medicine | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2006-04-14 |
| 1568439156 | William C Otto | Preventive Medicine | 629 Coyote Cv, A, Dugway, UT 84022-1079 | 2006-03-02 |
| 1538760228 | Summer Soleil Hammond | Preventive Medicine | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-11-08 |
| 1437692324 | Ihc Health Services Inc | Preventive Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2016-11-23 |
| 1376744086 | Ihc Health Services Inc | Preventive Medicine | 962 Sage Dr, Cedar City, UT 84720-1885 | 2007-05-30 |
| 1245455096 | Mark Vernon Anderson | Preventive Medicine | 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH OGDEN |
| Zip Code | 84414 |
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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.