Active NPI
Ogden Internal Medicine and Urology
Doing business as Layton Family Speciality
- Internal Medicine Physician
- Layton, UT
National Provider Identifier
1083998603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- OGDEN INTERNAL MEDICINE AND UROLOGY
- Doing business as
- Layton Family Speciality
- Practice address
- 2950 N Church Street
Layton, UT 84040 - Phone
- (801) 546-9441
- NPI assigned
- Sep 30, 2011
- Last updated
- Sep 30, 2011
- 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
- Mr. Dave Kane, VP
- Title
- Vice President
- Phone
- (801) 568-5960
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Gynecology Physician | 207VG0400X | NU | ||
| Urology Physician | 208800000X | NU |
Addresses
Primary practice location
2950 N Church Street
Layton, UT 84040
Mailing address
2950 N Church Street
301
Layton, UT 84040
Phone (801) 547-0747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003001553 | Medicaid | UT |
Other names 1
- Layton Family Speciality
National Provider Directory
National Provider DirectoryLocations
2950 N Church St
Layton, UT 84040
Phone (801) 546-9441
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Layton, UT
- NPI 1073607222
-
- Family Medicine Physician
- Layton, UT
- NPI 1649364803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317340800000",
"number": "1083998603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 N CHURCH STREET",
"address_2": "301",
"city": "LAYTON",
"state": "UT",
"postal_code": "84040",
"telephone_number": "801-547-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 N CHURCH STREET",
"city": "LAYTON",
"state": "UT",
"postal_code": "84040",
"telephone_number": "801-546-9441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OGDEN INTERNAL MEDICINE AND UROLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "801-568-5960",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "VP"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003001553",
"state": "UT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Layton Family Speciality",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Layton, UT
- 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.
- Daniel Offret, PA-C
- Ogden Orthopaedic Specialists, LLC (Ogden Orthpaedic Specialists)
- Brynlie Ogden
- Orin H Ogilvie, MD
- Jami C Ojeda
- Amberly Okey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.