MMPS Ogden

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

5032435-0160 Issued in UT

Legal business name

MMPS OGDEN

Practice address

1485 E Skyline Dr
Ogden, UT 84405-4837

Phone

(801) 475-4552

Fax

(801) 475-4578

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Penrod, CEO

Title

Ceo

Phone

(801) 284-1705

Specialties & licenses 2

Addresses

Tax ID family

MMPS Murray2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MMPS Murray

  • Multi-Specialty Clinic/Center
  • Murray, UT
  • NPI 1427005586
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheldon Lester Thieszen, MD

  • Diagnostic Radiology Physician
  • Murray, UT
  • NPI 1982651717
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1083654016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 E SKYLINE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054837",
            "telephone_number": "801-475-4552",
            "fax_number": "801-475-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 E SKYLINE DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844054837",
            "telephone_number": "801-475-4552",
            "fax_number": "801-475-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMPS OGDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "PENROD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-284-1705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "UT",
            "license": "5032435-0160",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "UT",
            "license": "5032435-0160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Tullis Mitchell, LCSW
• Dax Mitchell
• Emily Laree Mitchell, PT
• Tyler Mitchell
• Janessa Mladucky, CGC
• Modern Dental Professionals Utah, PC
• Robert Clark Moesinger, MD
• Robert Lionel Moesinger, MD
• Bennett Mohlman, D.O.
• Robert R Mohr, MD

• Radiology Clinic/Center in Ogden, UT
• Providers in Ogden, UT by specialty
• Radiology Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.