NPIMap

Organization Active NPI

Ridgeline Endoscopy Center L.C.

Doing business as Ridgeline Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • South Ogden, UT
National Provider Identifier
1154304749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
2004-ASF-9993 Issued in UT
Legal business name
RIDGELINE ENDOSCOPY CENTER L.C.
Doing business as
Ridgeline Endoscopy Center
Practice address
6028 S Ridgeline Dr
Suite 100
South Ogden, UT 84405-6914
Phone
(801) 475-4988
Fax
(801) 475-4948
NPI assigned
Nov 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Lowe, M.D.NPI 1851387195
Title
General Partner
Phone
(801) 475-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 2004-ASF-9993 UT Primary

Addresses

Primary practice location

6028 S Ridgeline Dr
Suite 100
South Ogden, UT 84405-6914

Mailing address

6028 S Ridgeline Dr
Suite 100
South Ogden, UT 84405-6914
Phone (801) 475-4988

Other identifiers 2

IdentifierTypeStateIssuer
876047546005MedicaidUT
49004666OtherRAILROAD MEDICARE

Other names 1

  • Ridgeline Endoscopy Center Doing business as

National Provider Directory

National Provider Directory

Locations

6028 S Ridgeline Dr
Ste 100
South Ogden, UT 84405
Phone (801) 475-4900

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154304749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "address_2": "SUITE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-4988",
            "fax_number": "801-475-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6028 S RIDGELINE DR",
            "address_2": "SUITE 100",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844056914",
            "telephone_number": "801-475-4988",
            "fax_number": "801-475-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELINE ENDOSCOPY CENTER L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "801-475-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "UT",
            "license": "2004-ASF-9993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876047546005",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "49004666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeline Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.