Individual provider Active NPI

Julie Anne Maughan, MD

  • Dermatology Physician
  • Ogden, UT
National Provider Identifier
1114098357
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5337701-1205 Issued in UT
Practice address
5734 S 1475 E Ste 300
Ogden, UT 84403-4698
Phone
(801) 475-5210
Fax
(801) 475-5209
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5337701-1205 UT Primary

Addresses

Primary practice location

5734 S 1475 E Ste 300
Ogden, UT 84403-4698

Mailing address

5734 S 1475 E Ste 300
Ogden, UT 84403-4698
Phone (801) 475-5210

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070514000566 UT Practitioner - Dermatology 4284731985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wasatch Dermatology PCGroup PAC ID 9638488240, 3 clinicians

Practice addresses (Care Compare)

5734 S 1475
Suite 300
South Ogden, UT 84403-4698
Phone (801) 475-5210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1846
Removal or shaving of skin growth24
Skin biopsy481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1114098357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 S 1475 E STE 300",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034698",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 S 1475 E STE 300",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034698",
            "telephone_number": "801-475-5210",
            "fax_number": "801-475-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUGHAN",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "5337701-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.