Nina G Jorgensen, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

277163-1205 Issued in UT

Practice address

2380 N 400 E
Ste C
North Logan, UT 84341-1749

Phone

(435) 753-7337

Fax

(435) 750-6779

NPI assigned

Apr 26, 2006

Last updated

Aug 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Department of Pediatrics University of Utah

  • Pediatrics Physician
  • Salt Lake City, UT
  • NPI 1679528715
  NPD (past)
• Primary Care Pediatrics

  • Pediatrics Physician
  • North Logan, UT
  • NPI 1588969539
  NPD (past)
• Remack LLC

  • Primary Care Clinic/Center
  • Logan, UT
  • NPI 1477926806
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1013973031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "address_2": "STE C",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411749",
            "telephone_number": "435-753-7337",
            "fax_number": "435-750-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 N 400 E",
            "address_2": "STE C",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843411749",
            "telephone_number": "435-753-7337",
            "fax_number": "435-750-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "NINA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "277163-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suezan L Johnson, LCSW
• Jon W Ahlstrom MD PC
• James Lewis Jones Jr., ACNP
• Pauline Margaret Jonsson, OTR/L
• Gina Gasser Jordan, FNP
• Barrett Paul Labrum, D.O.
• Lifetech Consulting (Rex Alan Spendlove, Ms, PC)
• Logan Medical Group LLC (Cache Valley Endocrine & Family Medicine)
• Logan Oral Surgery
• Low T Clinic, LLC

• Pediatrics Physician in North Logan, UT
• Providers in North Logan, UT by specialty
• Pediatrics Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.