Active NPI
Grace M O'Brien, DO
- Family Medicine Physician
- South Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 180186-1204
- Practice address
- 6112 S 1550 E
South Ogden, UT 84405-5007 - Phone
- (801) 475-3800
- Fax
- (801) 475-3801
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 180186-1204 | UT | Primary |
Addresses
Primary practice location
6112 S 1550 E
South Ogden, UT 84405-5007
Mailing address
PO Box 5546
Denver, CO 80217-5546
Phone (801) 475-3800
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Osteo Med of the Pacific at Pomona, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010
4700 Harrison Blvd
Ogden, UT 84403-4303
Phone (801) 475-3010
5495 S 500
Suite 310
Ogden, UT 84405-7409
Phone (801) 475-3100
6112 S 1550
Ogden, UT 84405-5007
Phone (801) 475-3800
Hospital & facility affiliations
- Atlas Home Care
- Applegate Homecare
- Intermountain Health McKay-Dee Hospital
- Ogden Regional Medical Center
- Holy Cross Hospital-Davis
- Intermountain Health Layton Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogden Clinic PC | Family Medicine | Current | Accepting new patients |
| Ogden Clinic Specialty Services LLC | Current | Accepting new patients |
Locations
4350 Washington Blvd
Ogden, UT 84403
Phone (801) 476-5100
5495 S 500 E
Ste 310
Ogden, UT 84405
Phone (801) 475-3100
1159 12th St
Ogden, UT 84404
Phone (801) 475-3700
4650 Harrison Blvd
Ogden, UT 84403
Phone (801) 475-3481
5430 S 1900 W
Ste G1
Roy, UT 84067
Phone (801) 779-3266
1491 E Ridgeline Dr
South Ogden, UT 84405
Phone (317) 790-7550
6112 S Harrison
South Ogden, UT 84405
Phone (801) 475-3800
5740 Crestwood Dr
South Ogden, UT 84405
Phone (801) 479-7771
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJJGBA
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Ogden, UT
- NPI 1578550083
-
- Sports Medicine (Family Medicine) Physician
- Ogden, UT
- NPI 1114203668
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ogden, UT
- NPI 1649223256
-
- General Acute Care Hospital
- Layton, UT
- NPI 1346945839
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1720031636
-
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
-
- General Acute Care Hospital
- Layton, UT
- NPI 1417460205
-
- Home Health Agency
- Layton, UT
- NPI 1952417214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484611200000",
"number": "1093702003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5546",
"city": "DENVER",
"state": "CO",
"postal_code": "802175546",
"telephone_number": "801-475-3800",
"fax_number": "801-475-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6112 S 1550 E",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844055007",
"telephone_number": "801-475-3800",
"fax_number": "801-475-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRIEN",
"first_name": "GRACE",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2017-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "180186-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.