Active NPI
Ihc Health Services Inc
Doing business as McKay Dee Endocrine and Diabetes Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Ogden, UT
National Provider Identifier
1033249198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 1001282
- Legal business name
- IHC HEALTH SERVICES INC
- Doing business as
- McKay Dee Endocrine and Diabetes Clinic
- Practice address
- 4403 Harrison Blvd
Ste 3630
Ogden, UT 84403-3287 - Phone
- (801) 387-7901
- NPI assigned
- Mar 7, 2007
- Last updated
- Mar 1, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda C Leckman, MD
- Title
- Ceo Intermountain Medical Group
- Phone
- (801) 442-3974
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 1001282 | UT | Primary |
Addresses
Primary practice location
4403 Harrison Blvd
Ste 3630
Ogden, UT 84403-3287
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-7901
Other names 1
- McKay Dee Endocrine and Diabetes Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031105000079 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 1,923 practitioners This NPI is an additional NPI on the enrollment |
| O20080610000303 | UT | Part B Supplier - Clinic/Group Practice | 1850209420 |
Receives reassigned benefits from 4,146 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
1424 E Foremaster Dr
Ste 140
St George, UT 84790
Phone (435) 251-2888
2655 W 9000 S
West Jordan, UT 84088
Phone (801) 256-6343
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Murray, UT
- NPI 1245229483
-
- Family Nurse Practitioner
- Spanish Fork, UT
- NPI 1033354717
-
- Family Medicine Physician
- North Ogden, UT
- NPI 1780096891
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Salt Lake City, UT
- NPI 1417096090
-
- Family Medicine Physician
- St George, UT
- NPI 1144254350
-
- Physician Assistant
- Layton, UT
- NPI 1427037738
-
- Family Medicine Physician
- Layton, UT
- NPI 1326135807
-
- Family Medicine Physician
- Salt Lake City, UT
- NPI 1396270344
-
- Physician Assistant
- Provo, UT
- NPI 1174633408
-
- Hematology & Oncology Physician
- Seattle, WA
- NPI 1811154172
-
- Pediatric Critical Care Medicine Physician
- Milwaukee, WI
- NPI 1528324019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330560000000",
"number": "1033249198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-387-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4403 HARRISON BLVD",
"address_2": "STE 3630",
"city": "OGDEN",
"state": "UT",
"postal_code": "844033287",
"telephone_number": "801-387-7901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IHC HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2012-03-01",
"status": "A",
"authorized_official_last_name": "LECKMAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO INTERMOUNTAIN MEDICAL GROUP",
"authorized_official_telephone_number": "801-442-3974",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "UT",
"license": "1001282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McKay Dee Endocrine and Diabetes Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ogden, UT
- Sarah Iannacone, PHARMD
- Timothy Bock Icenogle, MD
- Ideal Mindset LLC
- Ihc Health Services Inc (McKay Dee Foot and Ankle)
- Ihc Health Services Inc (McKay Dee Anticoagulation)
- Ihc Health Services Inc (McKay Dee Pulmonary)
- Ihc Health Services Inc (McKay-Dee Orthopedic & Sports Medicine Clinic)
- Ihc Health Services Inc (Northern Utah Surgeons)
- Ihc Health Services Inc (McKay Dee Cardiology)
- Ihc Health Services Inc (Behavioral Health Access - MKDH)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.