Active NPI
Mark Ogilvie
- Diagnostic Radiology Physician
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12848372-1205
- Practice address
- 5217 S State St Ste 200
Murray, UT 84107-4812 - Phone
- (801) 313-4128
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 42365 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | 12848372-1205 | UT | Primary |
Addresses
Primary practice location
5217 S State St Ste 200
Murray, UT 84107-4812
Mailing address
5217 S State St Ste 200
Murray, UT 84107-4812
Phone (801) 313-4128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, UT, ID, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
3903 Medical Dr
Suite 100
Ogden, UT 84403-2316
Phone (801) 387-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12848372-1205 | UT | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Tellica Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Tellica Imaging, LLC | Current | Accepting new patients | |
| Tellica Imaging - Washington LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
8505 W Overland Rd
Boise, ID 83709
Phone (208) 417-5100
2811 W Horizon Ridge Pkwy
Henderson, NV 89052
1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368
3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779
620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
888 S Rancho Dr
Las Vegas, NV 89106
Phone (702) 877-5375
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
3903 Medical Dr
Ste 100
Ogden, UT 84403
Phone (801) 387-8900
5217 S State St
Ste 200
Salt Lake City, UT 84107
Phone (208) 417-5100
5217 S State St
Salt Lake City, UT 84107
Phone (801) 313-4110
5295 S Commerce Dr
Ste 550
Salt Lake City, UT 84107
Phone (801) 313-4110
36 S Street St
Ste 2200
Salt Lake Cty, UT 84111
Phone (385) 622-0669
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
421 E Main St
Auburn, WA 98002
Phone (253) 204-2530
2941 S 38th St
Ste E
Tacoma, WA 98409
Phone (253) 534-8689
Organizations & group practices 18
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1790329407
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1346093150
Diagnostic Radiology
-
- Internal Medicine Physician
- Heber City, UT
- NPI 1396155065
-
- Radiation Oncology Physician
- Salt Lake City, UT
- NPI 1972631042
-
- Psychiatry Physician
- St George, UT
- NPI 1023843844
-
- Physiological Laboratory
- Cedar City, UT
- NPI 1538841747
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Riverton, UT
- NPI 1154551919
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Sandy, UT
- NPI 1962412486
-
- General Acute Care Hospital
- Murray, UT
- NPI 1043220650
-
- General Acute Care Hospital
- Cedar City, UT
- NPI 1538178801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699920000000",
"number": "1043579873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 S STATE ST STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074812",
"telephone_number": "801-313-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5217 S STATE ST STE 200",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074812",
"telephone_number": "801-313-4128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGILVIE",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AL",
"license": "42365",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "UT",
"license": "12848372-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.