Active NPI
Nathan C McBride, PA C
- Physician Assistant
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2854591206
- Practice address
- 6028 S Ridgeline Dr
Ste 201
Ogden, UT 84405-6914 - Phone
- (801) 475-5400
- Fax
- (801) 475-8614
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2854591206 | UT | Primary |
Addresses
Primary practice location
6028 S Ridgeline Dr
Ste 201
Ogden, UT 84405-6914
Mailing address
PO Box 337
Layton, UT 84041-0337
Phone (801) 773-4840
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87065316400Z | Medicaid | UT | |
| 107004880101 | Other | UT | IHC |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1477 N 2000
Suite C
Clinton, UT 84015-9099
Phone (801) 773-4840
1750 E 3100
Layton, UT 84040-2406
Phone (801) 773-4840
2038 W 1900
Syracuse, UT 84075-9320
Phone (801) 773-4840
2121 N 1700
Layton, UT 84041-8803
Phone (801) 773-4840
425 S 100
Layton, UT 84041-5356
Phone (801) 773-4840
6028 S Ridgeline Dr
Suite 201
Ogden, UT 84405-6908
Phone (801) 773-4840
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2854591206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Current | Accepting new patients | |
| Tanner Memorial Clinic | Past | Accepting new patients |
Locations
6028 S Ridgeline Dr
Ste 201
South Ogden, UT 84405
Phone (801) 475-5400
Interoperability endpoints
- nathan.mcbride.p1@direct.tannerclinic.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Layton, UT
- NPI 1447239355
-
- Multi-Specialty Clinic/Center
- Layton, UT
- NPI 1538951165
-
- Gastroenterology Physician
- Ogden, UT
- NPI 1609406511
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brigham City, UT
- NPI 1245282227
-
- 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1114915741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 337",
"city": "LAYTON",
"state": "UT",
"postal_code": "840410337",
"telephone_number": "801-773-4840",
"fax_number": "801-525-8151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6028 S RIDGELINE DR",
"address_2": "STE 201",
"city": "OGDEN",
"state": "UT",
"postal_code": "844056914",
"telephone_number": "801-475-5400",
"fax_number": "801-475-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "NATHAN",
"middle_name": "C",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "2854591206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87065316400Z",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC",
"identifier": "107004880101",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.