Mark D Housley (NPI# 1457358335, PAC ID# 6406754993) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1457358335 |
PAC ID by PECOS | 6406754993 |
Professional Enrollment ID | I20031222000430 |
Full Name | Mark D Housley |
Organization Legal Name | MIDTOWN COMMUNITY HEALTH CENTER INC |
Address |
2240 Adams Ave Ogden UT 84401-1511 |
Phone Number | 8013935355 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0345135414 |
Number of Group Practice Members | 11 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
460004 | MCKAY DEE HOSPITAL |
Address | Phone | Organization |
---|---|---|
2240 Adams Ave, Ogden, UT 84401-1511 | 8013935355 | MIDTOWN COMMUNITY HEALTH CENTER INC |
Organization Legal Name | MIDTOWN COMMUNITY HEALTH CENTER INC |
Physicians | 15 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathryn M Evans | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Stanley T Graham | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Amanda Gougler | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Tyler James D'hulst | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Cristina A Regalado | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Richard J Gregoire | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Tiffanie A Haun | Nurse Practitioner | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Jack Crosland | Orthopedic Surgery | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Carissa Monroy | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Kurt E Rifleman | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Street Address |
2240 ADAMS AVE |
City | OGDEN |
State | UT |
Zip | 84401-1511 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathryn M Evans | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Stanley T Graham | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Amanda Gougler | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Tyler James D'hulst | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Cristina A Regalado | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Richard J Gregoire | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Tiffanie A Haun | Nurse Practitioner | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Jack Crosland | Orthopedic Surgery | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Carissa Monroy | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Kurt E Rifleman | Family Medicine | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Gregory Lowell Gochnour | Family Medicine | 477 23rd St, Ogden, UT 84401-1507 | |
Heather D Larson | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Craig S Bowden | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Darrin W Tuckett | Nurse Practitioner | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Taryn M Barrette | Physician Assistant | Midtown Community Health Center Inc | 2240 Adams Ave, Ogden, UT 84401-1511 |
Patricia A Mason | Clinical Social Worker | 585 24th St, Suite 110, Ogden, UT 84401-1771 | |
Chris H Dahlberg | Physical Therapy | 2261 Kiesel Ave, Suite 320, Ogden, UT 84401-1969 | |
Joseph W Nelson | Family Medicine | 2265 Fillmore Ave, Ogden, UT 84401-2136 | |
Susan Paige Chasson | Certified Nurse Midwife (cnm) | Ihc Health Services Inc | 2408 Van Buren Ave, Ogden, UT 84401-2712 |
Bruce F Brown | Pathology | Ihc Health Services Inc | 2408 Van Buren Ave, Ogden, UT 84401-2712 |
Find all physicians in zip 84401 |
City | OGDEN |
Zip Code | 84401 |
Specialty | FAMILY MEDICINE |
City + Specialty | OGDEN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Housley.
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.