Kelly S Stagg (NPI# 1316935117, PAC ID# 4688618499) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1316935117 |
| PAC ID by PECOS | 4688618499 |
| Professional Enrollment ID | I20050613001198 |
| Full Name | Kelly S Stagg |
| Organization Legal Name | OGDEN CLINIC |
| Address |
4700 Harrison Blvd Ogden UT 84403-4303 |
| Phone Number | 8014753000 |
| Gender | M |
| Credential | DPM |
| Medical School | ILLINOIS MEDICAL COLLEGE |
| Graduation Year | 1982 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 9638078033 |
| Number of Group Practice Members | 127 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460005 | OGDEN REGIONAL MEDICAL CENTER |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4700 Harrison Blvd, Ogden, UT 84403-4303 | 8014753000 | OGDEN CLINIC |
| Organization Legal Name | OGDEN CLINIC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian D Powell | Orthopedic Surgery | Ogden Clinic | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Rina T Jordan | Registered Dietitian Or Nutrition Professional | Ogden Clinic | 3485 W 5200, Ogden Clinic Grand View, Roy, UT 84067-9438 |
| Carrie L Bryant | Physician Assistant | Ogden Clinic | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Bryan S Palmer | Obstetrics/gynecology | Ogden Clinic | 4403 Harrison Blvd, Suite 4650, Ogden, UT 84403-3294 |
| Larry O Smithing | Obstetrics/gynecology | Ogden Clinic | 5495 S 500 E, Suite 350, Ogden, UT 84405-7411 |
| Michael E Severance | Physician Assistant | Ogden Clinic | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| John D Taylor | Physician Assistant | Ogden Clinic | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Fred George Seale Iv | Obstetrics/gynecology | Ogden Clinic | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Zane H Williams | Physician Assistant | Ogden Clinic | 4650 Harrison Blvd, Ogden, UT 84403-4303 |
| Nephi A Gold | Occupational Therapy | Ogden Clinic | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Street Address |
4700 HARRISON BLVD |
| City | OGDEN |
| State | UT |
| Zip | 84403-4303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin G Walker | Podiatry | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Scott C Roberts | Physical Therapy | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Jacob S Cooper | Physical Therapy | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Brett W Martindale | Family Medicine | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Dennin Loomis | Nurse Practitioner | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Sherman D Stanley | Occupational Therapy | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Joshua G Vandersteen | Internal Medicine | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Brett E Richards | Hand Surgery | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Jeffery T Sorensen | Orthopedic Surgery | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Raymond M Miller | Nurse Practitioner | Ogden Clinic PC | 4700 Harrison Blvd, Ogden, UT 84403-4303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Howes | Clinical Social Worker | 2748 Adams Ave, Ogden, UT 84403-0106 | |
| Greg M Pickett | Optometry | 1196 30th St, Ogden, UT 84403-0353 | |
| Mona D Oversteg | Occupational Therapy | 1771 Doxey St, Ogden, UT 84403-0523 | |
| Susan M Agres | Podiatry | 1322 32nd St, Ogden, UT 84403-0902 | |
| Lincoln J Dygert | Optometry | Ogden Vision Center | 3475 Harrison Blvd, Ogden, UT 84403-1230 |
| Scott D Peterson | Optometry | 3988 Washington Blvd, Ogden, UT 84403-1826 | |
| Krystal M Tipping | Certified Registered Nurse Anesthetist (crna) | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Julie I Dee | Anesthesiology | 4364 S Washington Blvd, Ogden, UT 84403-1866 | |
| Scott O Sykes | Ophthalmology | Mt Ogden Eye Center LLC | 4360 Washington Blvd, Utah Eye Centers, Ogden, UT 84403-1866 |
| David A Johnson | Anesthesiology | Mt Ogden Anesthesia Group LLC | 4364 Washington Blvd, Ogden, UT 84403-1866 |
| Find all physicians in zip 84403 | |||
| City | OGDEN |
| Zip Code | 84403 |
| Specialty | PODIATRY |
| City + Specialty | OGDEN + PODIATRY |
Please comment or provide details below to improve the information on Kelly S Stagg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.