Daniel Offret, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

263558-1206 Issued in UT

Practice address

1550 N Main St
Layton, UT 84041-1757

Phone

(801) 614-9030

Fax

(801) 614-9040

NPI assigned

Mar 29, 2006

Last updated

Oct 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5664/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir-usa.unify.chbase.com/org/penob-eadbba22

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.

• After Hours Medical LLC

  dba Medallus Medical

  • Urgent Care Clinic/Center
  • Draper, UT
  • NPI 1437251279
  Medicare reassignment
• After Hours Medical LLC, Dba Medallus Medical

  dba After Hours Medical- West Valley Clinic

  • Urgent Care Clinic/Center
  • West Valley, UT
  • NPI 1679675417
  NPD
• Penobscot Valley Hospital

  • Critical Access Hospital
  • Lincoln, ME
  • NPI 1093716086
  NPD (past)
• Spectrum Healthcare Partners, PA

  dba Spectrum Radiology North

  • Diagnostic Radiology Physician
  • Bangor, ME
  • NPI 1710993159
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1083675128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411757",
            "telephone_number": "801-614-9030",
            "fax_number": "801-614-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N MAIN ST",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411757",
            "telephone_number": "801-614-9030",
            "fax_number": "801-614-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFRET",
        "first_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA-452",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "263558-1206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "035045",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS",
            "identifier": "201836",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334510099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Jensen Oberhansly
• Kelby J Oberhansly
• Occupational Health Centers of the Southwest, P.a. (Ut) (Concentra Medical Centers)
• Occupational Health Centers of the Southwest, P.a. (Ut) (Concentra Medical Center)
• Colleen Odonnell, P.A.
• Ogden Internal Medicine and Urology (Layton Family Speciality)
• Ogden Orthopaedic Specialists, LLC (Ogden Orthpaedic Specialists)
• Brynlie Ogden
• Orin H Ogilvie, MD
• Jami C Ojeda

• Physician Assistant in Layton, UT
• Providers in Layton, UT by specialty
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.